GREATER CHARLESTON DIALYSIS, PLLC (NPI# 1679568778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679568778 |
| Entity Type | Organization |
| Organization Name | GREATER CHARLESTON DIALYSIS, PLLC |
| Practice Address |
24 Maccorkle Ave Sw South Charleston WV 25303-1476 |
| Practice Telephone | 3047202222 |
| Practice Fax Number | 3047202322 |
| Mailing Telephone | 3047202222 |
| Mailing Fax Number | 3047202322 |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JULIAN L. ESPIRITU JR. (DIRECTOR) |
| Authorized Official Telephone | 3047202222 |
| Authorized Official Credential | M.D. |
| 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 |
43517 | WV | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0071269-001 | 05 |
| Street Address |
24 MACCORKLE AVE SW |
| City | SOUTH CHARLESTON |
| State | WV |
| Zip Code | 25303-1476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295720449 | Renal Consultants, Pllc | Specialist | 24 Maccorkle Ave Sw, Suite 201, South Charleston, WV 25303-1476 | 2005-09-14 |
| 1154722379 | Total Renal Care Inc | Clinic/Center | 24 Maccorkle Ave Sw, South Charleston, WV 25303 | 2014-09-08 |
| 1730314998 | Anmar Naser Alrabadi | Specialist | 24 Maccorkle Ave Sw, Suite 201, South Charleston, WV 25303-1476 | 2009-05-18 |
| 1649448911 | Neeharika Muddana | Internal Medicine | 24 Maccorkle Ave Sw, South Charleston, WV 25303-1476 | 2008-02-20 |
| 1437361284 | Deborah L Klimek, Md, Pllc | Clinic/Center | 24 Maccorkle Ave Sw, Suite 203, South Charleston, WV 25303-1476 | 2007-05-04 |
| 1669559084 | Mark D Steinvurzel, Md, Pllc | Ophthalmology | 24 Maccorkle Ave Sw, Suite 202, South Charleston, WV 25303-1476 | 2006-11-01 |
| 1285645242 | Mark D Steinvurzel | Ophthalmology | 24 Maccorkle Ave Sw, Suite 202, South Charleston, WV 25303-1476 | 2006-08-11 |
| 1245225820 | Lisa D Jones | Dietitian, Registered | 24 Maccorkle Ave Sw, South Charleston, WV 25303-1476 | 2005-09-20 |
| 1730174970 | Julian Llado Espiritu | Specialist | 24 Maccorkle Ave Sw, Suite 201, South Charleston, WV 25303-1476 | 2005-09-14 |
| 1194710327 | Robert Vaughn Lamb IIi | Specialist | 24 Maccorkle Ave Sw, Suite 201, South Charleston, WV 25303-1476 | 2005-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588009 | Shirley Ann Womack | Technician | 131 6th Ave. Apt.#305, South Charleston, WV 25303 | 2020-11-04 |
| 1407350713 | Special Touch Nursing Services, Inc. | In Home Supportive Care | 325 4th Ave Ste 1, South Charleston, WV 25303 | 2018-03-21 |
| 1003213471 | Neveah Health & Wellness Center, Pllc | Family Medicine | 538 3rd Avenue, South Charleston, WV 25303 | 2014-12-01 |
| 1760810444 | Martin, Dds Pllc | Dentist | 140 7th Ave, South Charlestown, WV 25303 | 2013-10-16 |
| 1053594267 | Mary Elizabeth Taylor | Specialist | 117 7th Avenue, South Charleston, WV 25303 | 2007-12-11 |
| 1093937633 | Loved Ones In Home Care | Home Health | 144 7th Ave, South Charleston, WV 25303 | 2007-05-03 |
| 1477643302 | William V. Jordan | Chiropractor | 411 D. Street, South Charleston, WV 25303 | 2006-10-13 |
| 1699864793 | Debora Lynn Wells | Counselor | 1418a Maccorkle Avenue Sw, Charleston, WV 25303 | 2006-10-12 |
| 1457443830 | Special Touch Nursing Services, Inc. | Home Health | 325 Fourth Ave, Suite #1, South Charleston, WV 25303 | 2006-09-29 |
| 1275625964 | Bryan Scott Eder | Dentist | 71 Maccorkle Ave Sw, South Charleston, WV 25303 | 2006-09-29 |
| Find all providers in zip 25303 | ||||
| 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 |
|---|---|---|---|---|
| 1154722379 | Total Renal Care Inc | Clinic/Center | 24 Maccorkle Ave Sw, South Charleston, WV 25303 | 2014-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679064471 | Weirton Dialysis Center LLC | Clinic/Center | 100 Colliers Way Ste 1, Weirton, WV 26062-4000 | 2018-05-29 |
| 1265958292 | Fresenius Medical Care Hamlin, LLC | Clinic/Center | 12 Lincoln Plz, Branchland, WV 25506-9773 | 2017-08-22 |
| 1396272332 | Total Renal Care Inc | Clinic/Center | 1 E Benjamin Dr, New Martinsville, WV 26155-2705 | 2017-05-22 |
| 1871032995 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 256 Skidmore Ln, Sutton, WV 26601 | 2017-02-22 |
| 1629517743 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 4 Northridge Dr Ste 116, Buckhannon, WV 26201-8484 | 2017-02-22 |
| 1083161400 | Total Renal Care Inc | Clinic/Center | 214 Gihon Vlg, Parkersburg, WV 26101 | 2016-09-01 |
| 1215389747 | Ravine Dialysis LLC | Clinic/Center | 600 Mcginnis Dr, Wayne, WV 25570 | 2016-07-08 |
| 1689049124 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 927 Foxcroft Ave, Martinsburg, WV 25401-1840 | 2015-12-09 |
| 1497122469 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 308 Huff Creek Highway, Man, WV 25635 | 2015-08-26 |
| 1437525714 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 506 3rd Ave, Montgomery, WV 25136-2102 | 2015-08-20 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH CHARLESTON |
| Zip Code | 25303 |
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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.