DVA HEALTHCARE RENAL CARE INC (NPI# 1508831314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508831314 |
| Entity Type | Organization |
| Organization Name | DVA HEALTHCARE RENAL CARE INC |
| Other Organization Name | BRIDGEPORT DIALYSIS |
| Practice Address |
900 Madison Ave Ste 221 Bridgeport CT 06606-5534 |
| Mailing Address |
5200 Virginia Way L & C Dept Brentwood TN 37027-7569 |
| Practice Telephone | 2033350191 |
| Practice Fax Number | 2033820322 |
| Mailing Telephone | 6153204214 |
| Mailing Fax Number | 8669443352 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2020-02-28 |
| Authorized Official Name | JOHN D WINSTEL (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 |
0186 | CT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004119336 | 05 |
| Other Name | Type Code |
|---|---|
| Bridgeport Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831690098 | Dva Healthcare Renal Care Inc | Clinic/Center | 3901 N Roxboro St Ste 108, Durham, NC 27704-2181 | 2018-02-23 |
| 1639695984 | Dva Healthcare Renal Care Inc | Clinic/Center | 209 Nc Highway 111 S, Goldsboro, NC 27534-9253 | 2017-08-18 |
| 1710351531 | Dva Healthcare Renal Care Inc | Clinic/Center | 101 Davita Ln, Elizabeth City, NC 27909-3314 | 2015-11-17 |
| 1851769848 | Dva Healthcare Renal Care Inc | Clinic/Center | 9622 Kincey Ave, Huntersville, NC 28078-9140 | 2015-09-08 |
| 1447643408 | Dva Healthcare Renal Care Inc | Clinic/Center | 1274 Ruin Creek Road, Henderson, NC 27537-4168 | 2015-03-13 |
| 1205116167 | Dva Healthcare Renal Care Inc | Clinic/Center | 11308 Hawthorne Dr, Mint Hill, NC 28227-9300 | 2011-08-24 |
| 1932363744 | Dva Healthcare Renal Care Inc | Clinic/Center | 7260 E Marshville Blvd, Marshville, NC 28103-1191 | 2008-07-11 |
| 1689868739 | Dva Healthcare Renal Care Inc | Clinic/Center | 6620 Old Statesville Rd, Charlotte, NC 28269-6768 | 2007-08-31 |
| 1700815487 | Dva Healthcare Renal Care Inc | Clinic/Center | 3053 State Route 35, Ste 201, Hazlet, NJ 07730-1526 | 2006-07-03 |
| 1508895632 | Dva Healthcare Renal Care Inc | Clinic/Center | 1164 E Route 130, Burlington, NJ 08016-2954 | 2006-07-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | DVA HEALTHCARE RENAL CARE INC. | 2000 16th St, Jld/Secgovfin, Denver, Colorado 80202-5117 |
| Street Address |
900 MADISON AVE STE 221 |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-5534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215936083 | Paul Barry Nussbaum | Internal Medicine | 900 Madison Ave, Suite 209, Bridgeport, CT 06606-5534 | 2005-07-14 |
| 1316322696 | Rachel Heggland | Nurse Practitioner | 900 Madison Ave, Ste 209, Bridgeport, CT 06606 | 2015-07-28 |
| 1548437148 | Aaron Matthew Dommu | Internal Medicine | 900 Madison Ave, Suite 209, Bridgeport, CT 06606-5534 | 2008-05-13 |
| 1962679969 | Lisa M Spicer | Nurse Practitioner | 900 Madison Ave, Suite 209, Bridgeport, CT 06606-5534 | 2008-05-09 |
| 1578512323 | Mahalia T Dejesus | Nurse Practitioner | 900 Madison Ave, Suite 209, Bridgeport, CT 06606-5534 | 2006-05-09 |
| 1609825223 | Nephrology Associates, PC | Nurse Practitioner | 900 Madison Ave, Suite 209, Bridgeport, CT 06606-5534 | 2006-05-09 |
| 1396737870 | Robert Chai Kim | Internal Medicine | 900 Madison Ave, Suite 209, Bridgeport, CT 06606-5534 | 2005-08-19 |
| 1609875491 | James Patrick Gavin | Internal Medicine | 900 Madison Ave, Suite 209, Bridgeport, CT 06606-5534 | 2005-07-14 |
| 1902805773 | Irwin David Feintzeig | Internal Medicine | 900 Madison Ave, Suite 209, Bridgeport, CT 06606-5534 | 2005-07-14 |
| 1003815887 | Mitchell Andrew Fogel | Internal Medicine | 900 Madison Ave, Suite 209, Bridgeport, CT 06606-5534 | 2005-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
| Find all providers in zip 06606 | ||||
| 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 |
|---|---|---|---|---|
| 1891204558 | Blauvelt Dialysis LLC | Clinic/Center | 6302 Dixie Hwy, Bridgeport, MI 48722-9566 | 2017-09-26 |
| 1346400629 | Bio Medical Applications of Michigan Inc | Clinic/Center | 5414 W Rolling Hills Dr, Bridgeport, MI 48722-9668 | 2008-06-11 |
| 1104938927 | Bio-medical Applications of West Virginia Inc | Clinic/Center | 16 Sterling Dr., Bridgeport, WV 26330-9107 | 2006-08-31 |
| 1205396744 | Isd Renal Inc | Clinic/Center | 703 Main St, Bridgeport, OH 43912-1315 | 2019-03-21 |
| 1649671439 | Dialyze Direct Ct LLC | Clinic/Center | 600 Bond St, Bridgeport, CT 06610-2205 | 2014-09-11 |
| 1538436753 | Gentle Dialysis Center LLC | Clinic/Center | 166 Thompson Dr, Bridgeport, WV 26330-1644 | 2011-11-17 |
| 1588747166 | Nabil Guirguis | Clinic/Center | 166 Thompson Dr, Suite B, Bridgeport, WV 26330-1644 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750939963 | Total Renal Care Inc | Clinic/Center | 7 Cambridge Dr Ste 105, Trumbull, CT 06611-4763 | 2019-08-30 |
| 1255839494 | Total Renal Care Inc | Clinic/Center | 425 Hawley Ln, Stratford, CT 06614-1514 | 2018-01-23 |
| 1366829343 | Wallingford Dialysis Care LLC | Clinic/Center | 720 N Main Street Ext, Suites 1 - 3, Wallingford, CT 06492-2417 | 2015-04-29 |
| 1417345828 | Tross Dialysis LLC | Clinic/Center | 164 Mount Pleasant Rd, Newtown, CT 06470-1408 | 2015-01-07 |
| 1184031437 | Argyle Dialysis LLC | Clinic/Center | 51 Palomba Dr, Enfield, CT 06082-3801 | 2014-07-18 |
| 1578838405 | Riverside Radiology Consultants, LLC | Clinic/Center | 65 Harvard Ave, Stamford, CT 06902-5564 | 2012-03-10 |
| 1952616633 | Total Renal Care Inc | Clinic/Center | 445e Willard Ave, Newington, CT 06111-2318 | 2010-08-18 |
| 1013228816 | Bio-medical Applications of Connecticut, Inc. | Clinic/Center | 725 Park Ave, Bloomfield, CT 06002-2402 | 2010-06-25 |
| 1386896587 | St. Raphael Dialysis Center Partnership | Clinic/Center | 266 State St, North Haven, CT 06473-2154 | 2008-10-21 |
| 1558524512 | Total Renal Care Inc | Clinic/Center | 427 Stillson Rd, Fairfield, CT 06824-3153 | 2008-07-09 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEPORT |
| Zip Code | 06606 |
Please comment or provide details below to improve the information on DVA HEALTHCARE RENAL CARE INC.
| 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.