DVA RENAL HEALTHCARE INC (NPI# 1427012798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427012798 |
| Entity Type | Organization |
| Organization Name | DVA RENAL HEALTHCARE INC |
| Other Organization Name | MARIETTA DIALYSIS |
| Practice Address |
1019 Pike St Marietta OH 45750-3500 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 7403762622 |
| Practice Fax Number | 7403762633 |
| Mailing Telephone | 6153416793 |
| Mailing Fax Number | 8664093229 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2016-08-18 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
0329DC | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2220180 | 05 | |
| WV | 3040011000 | 05 |
| Other Name | Type Code |
|---|---|
| Marietta Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629415609 | Dva Renal Healthcare Inc | Clinic/Center | 300 B 22nd St South, Birmingham, AL 35233-2209 | 2013-05-30 |
| 1164728408 | Dva Renal Healthcare Inc | Clinic/Center | 415 W Nc Hwy 54, Durham, NC 27713-7516 | 2011-02-03 |
| 1295983245 | Dva Renal Healthcare Inc | Clinic/Center | 1919 Charlotte Ave Ste 200, Nashville, TN 37203-2245 | 2008-09-03 |
| 1811171440 | Dva Renal Healthcare Inc | Clinic/Center | 300 W Broadway Ste 150, Council Bluffs, IA 51503-9077 | 2007-12-18 |
| 1881623585 | Dva Renal Healthcare Inc | Clinic/Center | 271 King St, Perth Amboy, NJ 08861-4488 | 2006-07-03 |
| 1164451852 | Dva Renal Healthcare Inc | Clinic/Center | 262 Texas Rd, Ste 101, Old Bridge, NJ 08857-4008 | 2006-07-03 |
| 1912936618 | Dva Renal Healthcare Inc | Clinic/Center | 1200 Randolph Rd, Muhlenburg Campus, Plainfield, NJ 07060-3361 | 2006-07-03 |
| 1346270782 | Dva Renal Healthcare Inc | Clinic/Center | 230 Van Sciver Pkwy, Willingboro, NJ 08046-1131 | 2006-07-03 |
| 1548299381 | Dva Renal Healthcare Inc | Clinic/Center | 29 Meridian Rd, Edison, NJ 08820-2823 | 2006-07-02 |
| 1548299373 | Dva Renal Healthcare Inc | Clinic/Center | 14-20 Prospect St, East Orange, NJ 07017-2238 | 2006-07-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | DVA Renal Healthcare Inc. | 2000 16th St, Jld/secgovfin, Denver, Colorado 80202-5117 |
| Street Address |
1019 PIKE ST |
| City | MARIETTA |
| State | OH |
| Zip Code | 45750-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111654 | Mary V Byrd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37 Sterling Rd, Marietta, OH 45750 | 2020-10-15 |
| 1356997522 | Jeffry Todd Arthur | Pharmacist | 401 Matthew Street Suite 100, Marietta, OH 45750 | 2019-08-14 |
| 1164965752 | Jennifer Ann Simmons | Counselor | 121 Putnam St, Marietta, OH 45750 | 2016-11-30 |
| 1811449010 | Kaylee Rebecca-ann Weihl | Counselor | 207 D Colegate Drive, Marietta, OH 45750 | 2016-11-04 |
| 1467802181 | Jody Alden | Registered Nurse | 342 Muskingum Dr., Marietta, OH 45750 | 2016-06-14 |
| 1073998944 | Rise A. Gibson | Dental Hygienist | 342 Muskingum Drive, Marietta, OH 45750 | 2015-07-21 |
| 1639559602 | Washington County Board of Developmental Dissabilities | Day Training, Developmentally Disabled Services | 1701 Colegate Dr., Marietta, OH 45750 | 2015-06-04 |
| 1902290406 | Irina Catanescu | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2015-03-23 |
| 1134520356 | Susan Jahn | Occupational Therapist | 1338a Colegate Dr, Marietta, OH 45750 | 2014-09-08 |
| 1740696087 | Melissa D Maston | Registered Nurse | Express Care - Marietta, 800 Pike St Ste 2, Marietta, OH 45750 | 2014-07-08 |
| Find all providers in zip 45750 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053976613 | Mountain Park Dialysis Center, LLC | Clinic/Center | 2550 Sandy Plains Rd Ste 160, Marietta, GA 30066-7210 | 2019-05-08 |
| 1124503032 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 2060 Lower Roswell Rd Ste 250, Marietta, GA 30068-3388 | 2018-09-26 |
| 1831469485 | Reliant Renal Care Georgia, LLC | Clinic/Center | 1720 Powder Springs Rd Sw, Marietta, GA 30064-4899 | 2012-01-12 |
| 1689786402 | Dialysis Specialists of Marietta, Ltd. | Clinic/Center | 14-16 Acme St, Washington Ctr., Marietta, OH 45750-3306 | 2006-08-31 |
| 1053423889 | National Medical Care, Inc. | Clinic/Center | 1277 Kennestone Cir, Kennestone Circle, Suite 600, Marietta, GA 30066-6033 | 2006-08-31 |
| 1679685499 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 1392 Bells Ferry Rd, Marietta, GA 30066-6084 | 2006-08-31 |
| 1083669782 | Dsi Renal Inc | Clinic/Center | 506 Roswell St Se, Marietta, GA 30060-4100 | 2006-05-23 |
| 1801285507 | Isd Renal Inc | Clinic/Center | 4880 Lower Roswell Rd, Suite 770, Marietta, GA 30068-4375 | 2015-01-19 |
| 1811270382 | Dialysis Newco Inc | Clinic/Center | 506 Roswell St Se, Bldg 100, Marietta, GA 30060-4100 | 2011-09-21 |
| 1558524546 | Royale Dialysis LLC | Clinic/Center | 200 Cobb Pkwy N, Ste 318, Marietta, GA 30062-3558 | 2008-07-09 |
| Find all providers in MARIETTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.