DIALYSIS CENTERS OF DAYTON, LLC (NPI# 1639150907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639150907 |
| Entity Type | Organization |
| Organization Name | DIALYSIS CENTERS OF DAYTON, LLC |
| Practice Address |
455 Turner Rd Dayton OH 45415-3630 |
| Mailing Address |
136 S. Ludlow St. Suite 500 Dayton OH 45402 |
| Practice Telephone | 9374998850 |
| Practice Fax Number | 9372239615 |
| Mailing Telephone | 9374998850 |
| Mailing Fax Number | 9372239615 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2012-08-29 |
| Authorized Official Name | JAYME NICOLE HANSEN (CONTROLLER) |
| Authorized Official Telephone | 9374998850 |
| 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 |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | UNITED HEALTHCARE | 6800128 | 01 |
| OH | 2178665 | 05 | |
| OH | BLUE CROSS/BLUE SHIELD | 000000065135 | 01 |
| OH | CARESOURCE | 39544 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942281274 | Dialysis Centers of Dayton, LLC | Clinic/Center | 90 Commercial Way, Springboro, OH 45066-3080 | 2005-11-14 |
| 1083695357 | Dialysis Centers of Dayton, LLC | Clinic/Center | 4700 Springboro Pike, Moraine, OH 45439-1964 | 2005-11-14 |
| 1255312526 | Dialysis Centers of Dayton, LLC | Clinic/Center | 1431 Business Center Ct, Dayton, OH 45410-3300 | 2005-11-14 |
| 1679555932 | Dialysis Centers of Dayton, LLC | Clinic/Center | 1111 Sweitzer St, Suite B, Greenville, OH 45331-1189 | 2005-11-14 |
| Street Address |
455 TURNER RD |
| City | DAYTON |
| State | OH |
| Zip Code | 45415-3630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649252958 | Augustus K. Eduafo | Internal Medicine | 455 Turner Rd, Dayton, OH 45415-3630 | 2005-11-14 |
| 1033599873 | Danielle Marie Washington | Social Worker | 455 Turner Rd, Dayton, OH 45415-3630 | 2015-06-07 |
| 1114261393 | Bastrop Dialysis LLC | Clinic/Center | 455 Turner Rd, Ste A, Dayton, OH 45415-3630 | 2012-11-12 |
| 1679556609 | John R Wigneswaran | Internal Medicine | 455 Turner Rd, Dayton, OH 45415-3630 | 2005-11-23 |
| 1528040185 | Melissa Schnell | Internal Medicine | 455 Turner Rd, Dayton, OH 45415-3630 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457881062 | Angelique Oluyitan | Registered Nurse | 50 Granite Dr, Dayton, OH 45415 | 2017-06-15 |
| 1255869244 | Sherry Marie Buchanan | Occupational Therapy Assistant | 140 Ewoodbury Dr, Dayton, OH 45415 | 2017-06-02 |
| 1417328972 | Thomas Riddell | Hearing Instrument Specialist | 5525 N. Main St, Dayton, OH 45415 | 2015-10-09 |
| 1932448537 | Mory Summer | General Practice | 141 Trailwoods Dr., Dayton, OH 45415 | 2013-02-04 |
| 1184909095 | Yolanda Jean Jenkins | Registered Nurse | 6339 Afton Drive, Dayton, OH 45415 | 2011-10-12 |
| 1023392560 | Megan E Betts | Specialist/Technologist, Other | 9000 N Main St. Ste 303, Dayton, OH 45415 | 2011-10-03 |
| 1356655195 | Gwendolyn L. Warren | Massage Therapist | 8393 N. Main St., Ste B, Dayton, OH 45415 | 2010-08-04 |
| 1811141559 | Dayton Physicians, LLC | Durable Medical Equipment & Medical Supplies | 9000 N Main St Suite 333, Dayton, OH 45415 | 2008-11-07 |
| 1730331224 | Joel Metze | Obstetrics & Gynecology | 9000 N Main St Ste 232, Englewood, OH 45415 | 2008-10-16 |
| 1023236247 | James Otis Hurst | Dentist | 9000 N. Main Street, Suite 207, Dayton, OH 45415 | 2007-04-23 |
| Find all providers in zip 45415 | ||||
| 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 |
|---|---|---|---|---|
| 1386180099 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 821 S Edwin C Moses Blvd, Dayton, OH 45417 | 2017-01-19 |
| 1316481427 | Total Renal Care Inc | Clinic/Center | 5680 Salem Bend Dr., Dayton, OH 45426-1462 | 2016-12-08 |
| 1336682707 | Isd Renal Inc | Clinic/Center | 2808 Germantown St, Dayton, OH 45417-4134 | 2016-12-02 |
| 1427399369 | Lakeshore Dialysis LLC | Clinic/Center | 4750 N Main St, Dayton, OH 45405-5021 | 2013-03-01 |
| 1710281464 | Total Renal Care Inc | Clinic/Center | 455 Turner Rd Ste B, Dayton, OH 45415-3630 | 2011-01-10 |
| 1194837088 | Bio-medical Applications of Texas, Inc. | Clinic/Center | 1003 N Cleveland St, Dayton, TX 77535-2131 | 2006-08-31 |
| 1285667667 | Dialysis Clinic Inc. | Clinic/Center | 230 White Oak Rd, Dayton, TN 37321-5200 | 2006-07-08 |
| 1861424707 | Peritoneal Dialysis Concepts Inc. | Clinic/Center | 1 Elizabeth Pl. 627 Edwin C Moses Blvd, Suite 2b, Dayton, OH 45417-1445 | 2006-07-07 |
| 1255312526 | Dialysis Centers of Dayton, LLC | Clinic/Center | 1431 Business Center Ct, Dayton, OH 45410-3300 | 2005-11-14 |
| 1861005241 | Fresenius Medical Care Centerville Home, LLC | Clinic/Center | 7211 Shull Rd, Dayton, OH 45424-1234 | 2020-08-26 |
| Find all providers in DAYTON | ||||
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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.