GREENWOOD DIALYSIS LLC (NPI# 1700842655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700842655 |
| Entity Type | Organization |
| Organization Name | GREENWOOD DIALYSIS LLC |
| Other Organization Name | GREENWOOD DIALYSIS CENTER |
| Practice Address |
1345 N Lansing Ave Tulsa OK 74106-5911 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 9185858811 |
| Practice Fax Number | 9185855506 |
| Mailing Telephone | 6153204268 |
| Mailing Fax Number | 8772380567 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2019-02-19 |
| 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 |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200070220A | 05 |
| Other Name | Type Code |
|---|---|
| Greenwood Dialysis Center | Doing Business As Name - Organization |
| Street Address |
1345 N LANSING AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74106-5911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811538895 | Desma Johnson | Technician | 784 East 43rd Street North, Tulsa, OK 74106 | 2019-10-01 |
| 1912462094 | Breyan Lashawn Jackson | Case Manager/Care Coordinator | 3606 N Mlk Jr. Blvd, Tulsa, OK 74106 | 2019-02-04 |
| 1740751445 | Ernest Kaara Maina | Family Medicine | 3606 M.l.k. Jr Blvd, Tulsa, OK 74106 | 2018-12-07 |
| 1568969632 | A&m Healthcare Clinic | Nurse Practitioner | 3606 North Mlk Blvd, Tulsa, OK 74106 | 2018-04-06 |
| 1265880819 | Paula Patricia Tullis | Psychologist | 1232 N Boston, Tulsa, OK 74106 | 2016-05-24 |
| 1326413030 | Eartha Mcalester | Counselor | 628 E. Virgin St., Tulsa, OK 74106 | 2015-12-07 |
| 1114334182 | James O Brannon Jr. | Behavioral Analyst | 2745 North Main, Tulsa, OK 74106 | 2014-07-22 |
| 1952718512 | Teresa Marie Williams | Counselor | 3601 N. Martin Luther King Blvd, Tulsa, OK 74106 | 2014-07-16 |
| 1639580764 | Lynnette Dixon | Case Management | 708 East 38th Street North, Tulsa, OK 74106 | 2014-05-12 |
| 1184975898 | Tiara Delonia | Social Worker | 1 W 36th St N Suite 1, Tulsa, OK 74106 | 2012-09-21 |
| Find all providers in zip 74106 | ||||
| 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 |
|---|---|---|---|---|
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1811401631 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 5230 S Mingo Rd, Tulsa, OK 74146 | 2017-12-01 |
| 1437590015 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 2845 E Skelly Dr, Tulsa, OK 74105-6221 | 2013-07-11 |
| 1548609480 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 8620 S. Lewis Ave., Tulsa, OK 74137-1267 | 2013-06-24 |
| 1487093720 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 2309 W Edison St, Suite A, Tulsa, OK 74127-5218 | 2013-06-20 |
| 1710140967 | Bio-medical Applications of Oklahoma, Inc. | Clinic/Center | 2309a W Edison St, Tulsa, OK 74127-5218 | 2008-07-08 |
| 1255509188 | Biomedical Application of Okla | Clinic/Center | 2309a West Edison, Tulsa, OK 74127-5218 | 2008-02-13 |
| 1902984156 | St. John Dialysis, LLC | Clinic/Center | 1923 East 21st Street, Tulsa, OK 74114-1402 | 2006-11-02 |
| 1528160710 | Dialysis Specialists of Tulsa, Inc. | Clinic/Center | 8260 S Lewis Ave, Tulsa, OK 74137-1267 | 2006-09-01 |
| 1881657443 | Southcrest Dialysis LLC | Clinic/Center | 10921 E 81st St, Tulsa, OK 74133-4227 | 2006-04-06 |
| Find all providers in TULSA | ||||
Please comment or provide details below to improve the information on GREENWOOD DIALYSIS LLC.
| 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.