TRISTATE RENAL CARE LLC (NPI# 1790382513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790382513 |
| Entity Type | Organization |
| Organization Name | TRISTATE RENAL CARE LLC |
| Practice Address |
6909 Burlington Pike Ste B Florence KY 41042-1618 |
| Practice Telephone | 8599127716 |
| Practice Fax Number | 8597574923 |
| Mailing Telephone | 8599127716 |
| Mailing Fax Number | 8597574923 |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-05 |
| Authorized Official Name | MRS. MYLE THI TRAN (PRACTICE MANAGER) |
| Authorized Official Telephone | 8599127716 |
| 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 |
| Street Address |
6909 BURLINGTON PIKE STE B |
| City | FLORENCE |
| State | KY |
| Zip Code | 41042-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487879599 | Muhammad Rafiuddin | Internal Medicine | 6909 Burlington Pike Ste B, Florence, KY 41042-1618 | 2007-04-16 |
| 1831730183 | Kidney Associates of The Tristate | Internal Medicine | 6909 Burlington Pike Ste B, Florence, KY 41042-1618 | 2019-10-07 |
| 1306369665 | Allison Kendall Marlow | Dentist | 6909 Burlington Pike Ste B, Florence, KY 41042-1618 | 2017-07-19 |
| 1316149412 | Ai Ngoc Tran | Internal Medicine | 6909 Burlington Pike Ste B, Florence, KY 41042-1618 | 2007-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596010 | Stacey Deann Cruse | Counselor | 71 Cavalier Blvd #303, Florance, KY 41042 | 2020-07-23 |
| 1760044705 | Loretta Macaluso | Speech-Language Pathologist | 1515 Cavalry Drive, Suite 202, Florence, KY 41042 | 2019-06-29 |
| 1659879559 | Christina Shrader | Counselor | 71 Cavalier Blvd Ste 113, Florence, KY 41042 | 2018-01-25 |
| 1891200267 | Rachel Knuehl | Case Manager/Care Coordinator | 8140 Dream Street, Florence, KY 41042 | 2017-12-07 |
| 1427560697 | Marie Nicole Sartori | Nurse Practitioner | 7766 Ewing Blvd Ste 100, Florence, KY 41042 | 2017-10-27 |
| 1669903910 | Northern Kentucky Smiles | Dentist | 1481 Cavalry Drive, Suite 100, Florence, KY 41042 | 2017-03-27 |
| 1306394937 | Mary Austin | Nurse Practitioner | 7766 Ewing Boulevard, Florence, KY 41042 | 2016-09-12 |
| 1598211633 | Samantha Growe | Counselor | 7000 Houston Rd Ste 16, Florence, KY 41042 | 2016-08-29 |
| 1982079299 | Jessica Adelyn Goodridge | Doula | 2224 Forest Lawn Dr., Florence, KY 41042 | 2015-12-11 |
| 1083083414 | Victoria Maruca Havron | Psychologist | 6900 Houston Rd Ste 11, Florence, KY 41042 | 2015-09-16 |
| Find all providers in zip 41042 | ||||
| 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 |
|---|---|---|---|---|
| 1366059990 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 131 Cox Creek Pkwy S, Florence, AL 35630-3264 | 2020-09-28 |
| 1275035586 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 1465 Pamplico Hwy, Florence, SC 29505-6173 | 2018-03-02 |
| 1942729454 | Isd Renal Inc | Clinic/Center | 1471 N Cashua Dr, Florence, SC 29501-6950 | 2017-09-15 |
| 1013454271 | Isd Renal Inc | Clinic/Center | 1413 N Cashua Dr, Florence, SC 29501-6950 | 2017-01-26 |
| 1275083081 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 181 E Evans St Ste B, Suite 8-12, Florence, SC 29506-5503 | 2016-10-05 |
| 1326482928 | Total Renal Care Inc | Clinic/Center | 1520 Flag Dr, Florence, SC 29505 | 2013-04-25 |
| 1669712733 | Fresenius Medical Care Dialysis Services - Oregon, LLC | Clinic/Center | 2820 Kingwood St, Florence, OR 97439-9555 | 2013-02-26 |
| 1508033614 | Renal Treatment Centers Southeast Lp | Clinic/Center | 1840 Darby Dr, Florence, AL 35630-2623 | 2008-05-08 |
| 1275725921 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 406 South Church Street, Florence, SC 29501-2097 | 2007-08-16 |
| 1700932779 | Bio-medical Applications of Arizona, LLC. | Clinic/Center | 300 W Highway 287 # 300, Florence, AZ 85132-9376 | 2007-01-25 |
| Find all providers in FLORENCE | ||||
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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.