RENAL DIMENSIONS, LLC (NPI# 1821171026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821171026 |
| Entity Type | Organization |
| Organization Name | RENAL DIMENSIONS, LLC |
| Other Organization Name | RENAL CARE GROUP-SOUTHEAST VALLEY |
| Practice Address |
22715 S Ellsworth Rd Building D Queen Creek AZ 85242-6119 |
| Practice Telephone | 4806772463 |
| Mailing Telephone | 4806772463 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARK FAWCETT (TREASURER) |
| Authorized Official Telephone | 7814029000 |
| 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 |
| Other Name | Type Code |
|---|---|
| Renal Care Group-Southeast Valley | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184714685 | Renal Dimensions, LLC | Clinic/Center | 16536 N Maricopa Rd, Maricopa, AZ 85239-2836 | 2006-10-13 |
| 1487756656 | Renal Dimensions, LLC | Clinic/Center | Us 70 Highway Srt 170, Peridot, AZ 85542 | 2006-09-01 |
| 1477665289 | Renal Dimensions, LLC | Clinic/Center | 15930 S 48th St, Suite 100, Phoenix, AZ 85048-0903 | 2006-08-31 |
| 1568574374 | Renal Dimensions, LLC | Clinic/Center | 10301 E Osborn Rd, Scottsdale, AZ 85256-4008 | 2006-08-31 |
| 1003976010 | Renal Dimensions, LLC | Clinic/Center | 22715 S Ellsworth Rd, Queen Creek, AZ 85142-6130 | 2006-12-11 |
| 1215049028 | Renal Dimensions, LLC | Clinic/Center | 13830 W Camino Del Sol, Suite 100, Sun City West, AZ 85375-4485 | 2006-08-31 |
| Street Address |
22715 S ELLSWORTH RD BUILDING D |
| City | QUEEN CREEK |
| State | AZ |
| Zip Code | 85242-6119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003976010 | Renal Dimensions, LLC | Clinic/Center | 22715 S Ellsworth Rd, Queen Creek, AZ 85142-6130 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932430618 | Di Nguyen | Pharmacist | 3111 West Hunt Highway, Queen Creek, AZ 85242 | 2010-01-20 |
| 1174857056 | Jessica Lynn Donnelly | Behavioral Analyst | 21007 E. Avendia Del Valle, Queen Creek, AZ 85242 | 2009-09-25 |
| 1306093984 | Charles Mckenzie | Dentist | 40815 N Ironwood Drive, Ste A102, Queen Creek, AZ 85242 | 2008-08-26 |
| 1104014943 | Queen Creek Smiles, LLP | Dentist | 18550 East Rittenhouse Road, Suite 103, Queen Creek, AZ 85242 | 2007-10-05 |
| 1972700359 | Sunrise Internal Medicine PC | Internal Medicine | 22707 S. Ellsworth Rd., Suite #h105, Queen Creek, AZ 85242 | 2007-06-29 |
| 1083811277 | Brian Joseph Goodman | Dentist | 18610 E. Rittenhouse Rd., Queen Creek, AZ 85242 | 2007-06-29 |
| 1972704757 | San Tan Urgent Care Health Center | Clinic/Center | 21321 E Ocotillo Road, Suite 118, Queen Creek, AZ 85242 | 2007-05-30 |
| 1538375647 | Jennifer Jean Job | Occupational Therapy Assistant | 3575 E Lawndale Place, Queen Creek, AZ 85242 | 2007-05-15 |
| 1972718823 | Eric Joseph Harris | Dentist | 20261 E. Ocotillo Road, Suite 120, Queen Creek, AZ 85242 | 2007-05-14 |
| 1477767010 | San Tam Dental Care & Mobile Clinic PC | Dentist | 22240 S Ellsworth Rd, Suite 102, Queen Creek, AZ 85242 | 2007-05-10 |
| Find all providers in zip 85242 | ||||
| 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 |
|---|---|---|---|---|
| 1003976010 | Renal Dimensions, LLC | Clinic/Center | 22715 S Ellsworth Rd, Queen Creek, AZ 85142-6130 | 2006-12-11 |
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|---|---|---|---|---|
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| 1043826191 | Fresenius Medical Care Yuma, LLC | Clinic/Center | 1200 S Castle Dome Ave Ste C, Yuma, AZ 85365-5305 | 2020-09-23 |
| 1215577598 | Southwest Kidney - Davita Dialysis Partners LLC | Clinic/Center | 14671 W Mountain View Blvd Ste 102, Surprise, AZ 85374-4840 | 2020-01-14 |
| 1225678774 | Endicott Dialysis LLC | Clinic/Center | 2500 S 8th Ave Ste 102, Yuma, AZ 85364-7132 | 2020-01-13 |
| 1811450281 | Bio Medical Applications of Arizona LLC | Clinic/Center | 450 S Gilbert Rd, Chandler, AZ 85225-2479 | 2019-04-11 |
| 1437612165 | Southwest Kidney - Davita Dialysis Partners LLC | Clinic/Center | 14620 W Encanto Blvd Ste 110, Goodyear, AZ 85395-1616 | 2019-04-10 |
| 1649730953 | Scottsdale Kidney Center LLC | Clinic/Center | 6970 E Chauncey Ln Ste 130, Phoenix, AZ 85054-5159 | 2019-03-22 |
| 1437613916 | Premier Home Dialysis Services | Clinic/Center | 20118 N 67th Ave Ste 300-527, Glendale, AZ 85308-4621 | 2019-01-29 |
| 1801369186 | Bio Medical Applications of Arizona LLC | Clinic/Center | 7862 E Florentine Rd Ste 100, Prescott Valley, AZ 86314-2216 | 2019-01-09 |
| 1932688256 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 926 E Mcdowell Rd Ste 100, Phoenix, AZ 85006-2503 | 2018-08-08 |
| Find all providers with the same taxonomy | ||||
| City | QUEEN CREEK |
| Zip Code | 85242 |
Please comment or provide details below to improve the information on RENAL DIMENSIONS, 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.