ISD RENAL INC (NPI# 1801285507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801285507 |
| Entity Type | Organization |
| Organization Name | ISD RENAL INC |
| Other Organization Name | EAST COBB DIALYSIS |
| Practice Address |
4880 Lower Roswell Rd Suite 770 Marietta GA 30068-4375 |
| Mailing Address |
5200 Virginia Way Licensure and Certification Dept Brentwood TN 37027-7569 |
| Practice Telephone | 7703210675 |
| Practice Fax Number | 7705098283 |
| Mailing Telephone | 6153204268 |
| Mailing Fax Number | 8772380567 |
| Enumeration Date | 2015-01-19 |
| Last Update Date | 2019-03-25 |
| 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 |
GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003162182A | 05 |
| Other Name | Type Code |
|---|---|
| East Cobb Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295344307 | Isd Renal Inc | Clinic/Center | 1930 S Broad St Unit 7, Philadelphia, PA 19145-2328 | 2020-07-24 |
| 1225647332 | Isd Renal Inc | Clinic/Center | 230 N Broad St Bldg 12th, Philadelphia, PA 19102-1121 | 2020-07-24 |
| 1336758549 | Isd Renal Inc | Clinic/Center | 1300 W Lehigh Ave Ste 106, Philadelphia, PA 19132-2764 | 2020-07-24 |
| 1538793773 | Isd Renal Inc | Clinic/Center | 2317 Memorial Pkwy Sw Ste 105, Huntsville, AL 35801-5623 | 2020-02-26 |
| 1821646035 | Isd Renal Inc | Clinic/Center | 262 Broad St, Newark, NJ 07104-3809 | 2019-08-30 |
| 1245891670 | Isd Renal Inc | Clinic/Center | 100 W Forest Ave Ste G, Englewood, NJ 07631-4033 | 2019-06-26 |
| 1235795204 | Isd Renal Inc | Clinic/Center | 4952 Parkside Ave, Philadelphia, PA 19131 | 2019-05-15 |
| 1003390469 | Isd Renal Inc | Clinic/Center | 1843 Foreman Dr Ste 201, Cookeville, TN 38501-5933 | 2018-09-21 |
| 1174006662 | Isd Renal Inc | Clinic/Center | 2636 W Michigan St, Indianapolis, IN 46222-3727 | 2018-09-11 |
| 1619459682 | Isd Renal Inc | Clinic/Center | 620 Mall Blvd Ste E, Dyersburg, TN 38024-1649 | 2018-09-05 |
| Street Address |
4880 LOWER ROSWELL RD SUITE 770 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30068-4375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942234778 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 4880 Lower Roswell Rd, Marietta, GA 30068-4375 | 2006-07-10 |
| 1306445382 | Katherine L Antoniades | Pharmacist | 4880 Lower Roswell Rd, Marietta, GA 30068-4375 | 2020-10-21 |
| 1629686134 | Annie Lee | Pharmacist | 4880 Lower Roswell Rd, Marietta, GA 30068-4375 | 2020-07-21 |
| 1770035263 | Pt Solutions of Acworth, LLC | Physical Therapist | 4880 Lower Roswell Rd, Suite 625, Marietta, GA 30068-4375 | 2016-10-31 |
| 1356688295 | William Roger Lanier | Pharmacist | 4880 Lower Roswell Rd, Marietta, GA 30068-4375 | 2013-01-11 |
| 1659639474 | Erin Marie Cain | Pharmacist | 4880 Lower Roswell Rd, Marietta, GA 30068-4375 | 2012-04-30 |
| 1932401973 | Janet Lynne Boner | Music Therapist | 4880 Lower Roswell Rd, Marietta, GA 30068-4375 | 2010-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798917 | Barbara Ann Goldschmidt | Pharmacist | 4088 Lower Roswell Rd, Marietta, GA 30068 | 2020-10-20 |
| 1285274480 | Cory Plasker | Chiropractor | 519b Johnson Ferry Road, Suite 350, Marietta, GA 30068 | 2020-01-15 |
| 1952949893 | Dr Amy L Varner LLC | Internal Medicine | 1000 Johnson Ferry Rd Bldg E Ste 200, Marietta, GA 30068 | 2019-12-11 |
| 1417501834 | Cornerstone Hospice and Palliative Care of Georgia, LLC | Hospice Care, Community Based | 1225 Johnson Ferry Rd., Bldg. 100, Suite 160, Marietta, GA 30068 | 2019-07-25 |
| 1639721038 | Cayla Clark | Behavior Technician | 137 Johnson Ferry Road Suite 2170, Marietta, GA 30068 | 2019-07-15 |
| 1467910828 | 2me Healthcare,llc | Home Health | 2586 Club Valley Drive Ne, Marietta, GA 30068 | 2019-03-05 |
| 1265912604 | Feidy Chiropractic Clinic Inc, Dba Cardwell Chiropractic Clinic | Chiropractor | 1230 Johnson Ferry Pl Ste G30, Marietta, GA 30068 | 2018-08-15 |
| 1225514219 | Audrey Hughes. Lcsw, LLC | Clinic/Center | 1212 Johnson Ferry Rd, Suite 300, Marietta, GA 30068 | 2018-07-13 |
| 1316461379 | Evan King | Registered Nurse | 52 Pioneer Trl, Marietta, GA 30068 | 2017-08-01 |
| 1912431867 | Anthony Izore | Nurse Practitioner | 5163 Tall Oak Drive, Marietta, GA 30068 | 2017-04-18 |
| Find all providers in zip 30068 | ||||
| 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 |
|---|---|---|---|---|
| 1053976613 | Mountain Park Dialysis Center, LLC | Clinic/Center | 2550 Sandy Plains Rd Ste 160, Marietta, GA 30066-7210 | 2019-05-08 |
| 1124503032 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 2060 Lower Roswell Rd Ste 250, Marietta, GA 30068-3388 | 2018-09-26 |
| 1831469485 | Reliant Renal Care Georgia, LLC | Clinic/Center | 1720 Powder Springs Rd Sw, Marietta, GA 30064-4899 | 2012-01-12 |
| 1689786402 | Dialysis Specialists of Marietta, Ltd. | Clinic/Center | 14-16 Acme St, Washington Ctr., Marietta, OH 45750-3306 | 2006-08-31 |
| 1053423889 | National Medical Care, Inc. | Clinic/Center | 1277 Kennestone Cir, Kennestone Circle, Suite 600, Marietta, GA 30066-6033 | 2006-08-31 |
| 1679685499 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 1392 Bells Ferry Rd, Marietta, GA 30066-6084 | 2006-08-31 |
| 1083669782 | Dsi Renal Inc | Clinic/Center | 506 Roswell St Se, Marietta, GA 30060-4100 | 2006-05-23 |
| 1427012798 | Dva Renal Healthcare Inc | Clinic/Center | 1019 Pike St, Marietta, OH 45750-3500 | 2006-04-13 |
| 1811270382 | Dialysis Newco Inc | Clinic/Center | 506 Roswell St Se, Bldg 100, Marietta, GA 30060-4100 | 2011-09-21 |
| 1558524546 | Royale Dialysis LLC | Clinic/Center | 200 Cobb Pkwy N, Ste 318, Marietta, GA 30062-3558 | 2008-07-09 |
| Find all providers in MARIETTA | ||||
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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.