KERSHAW DIALYSIS LLC (NPI# 1831615855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831615855 |
| Entity Type | Organization |
| Organization Name | KERSHAW DIALYSIS LLC |
| Other Organization Name | OAKLAND BROADWAY DIALYSIS |
| Practice Address |
4242 Broadway Oakland CA 94611-5130 |
| Mailing Address |
5200 Virginia Way Brentwood TN 37027-7569 |
| Practice Telephone | 5106544645 |
| Practice Fax Number | 5105471548 |
| Mailing Telephone | 6153416282 |
| Mailing Fax Number | 8003365910 |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2020-03-03 |
| Authorized Official Name | JOHN D WINSTEL (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 |
| Other Name | Type Code |
|---|---|
| Oakland Broadway Dialysis | Doing Business As Name - Organization |
| Street Address |
4242 BROADWAY |
| City | OAKLAND |
| State | CA |
| Zip Code | 94611-5130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028454 | Abduljabbar Alhammoud | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 | 2020-09-21 |
| 1184287435 | Unfold Psychology: A. Heafey Practice | Psychologist | 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 | 2019-04-22 |
| 1700389699 | Katie Herron | Student in an Organized Health Care Education/Training Program | 2535 Harrison St., Oakland, CA 94611 | 2018-03-16 |
| 1861923351 | Hoiwan Cheung | Student in an Organized Health Care Education/Training Program | 3600 Broadway, 4th Fl., Suite 43, Kaiser Oakland, Oakland, CA 94611 | 2017-03-25 |
| 1104377126 | Collin Chan | Pharmacist | 3801 Howe Street, Fabiola G-25, Oakland, CA 94611 | 2016-10-14 |
| 1912457276 | Madeline Marie Perket | Registered Nurse | 933 Kingston Ave, Piedmont, CA 94611 | 2016-10-11 |
| 1962959460 | Healing Arts Chiropractic | Chiropractor | 187 40th Street Way, Oakland, CA 94611 | 2016-09-01 |
| 1033573829 | Diana Murphy | Counselor | 629 Oakland, Oakland, CA 94611 | 2016-04-08 |
| 1437515483 | Laura Northrup II | Marriage & Family Therapist | 3873 Piedmont Ave, Suite 5, Oakland, CA 94611 | 2016-01-06 |
| 1558736835 | Michael Joseph Scollard | Dentist | 42 Linda Ave., Oakland, CA 94611 | 2015-12-11 |
| Find all providers in zip 94611 | ||||
| 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 |
|---|---|---|---|---|
| 1992341879 | Minneopa Dialysis, LLC | Clinic/Center | 3814 Macarthur Blvd Ste 201, Oakland, CA 94619-1315 | 2019-11-26 |
| 1568699882 | Llano Dialysis LLC | Clinic/Center | 5352 Claremont Ave, Oakland, CA 94618-1035 | 2009-06-12 |
| 1104053412 | Llano Dialysis LLC | Clinic/Center | 10700 Macarthur Blvd Ste 14, Oakland, CA 94605-5260 | 2009-06-12 |
| 1982888202 | Rai Care Centers of Oakland II, LLC | Clinic/Center | 2628 International Blvd, Suite 100, Oakland, CA 94601-1512 | 2007-12-21 |
| 1003980350 | Rai Care Centers of Northern California II, LLC | Clinic/Center | 2757 Telegraph Ave, Oakland, CA 94612-1733 | 2006-11-20 |
| 1295746527 | Independent Dialysis Foundation, Inc | Clinic/Center | 888 Memorial Dr, Oakland, MD 21550-5101 | 2006-08-11 |
| 1952364101 | Total Renal Care Piedmont Dialysis Partnership | Clinic/Center | 2633 Telegraph Ave, Ste 115, Oakland, CA 94612-1743 | 2006-04-10 |
| 1447224365 | Dva Healthcare Renal Care Inc | Clinic/Center | 5354 Claremont Ave, Oakland, CA 94618-1035 | 2006-02-15 |
| 1164794715 | Satellite Dialysis of Oakland LLC | Clinic/Center | 3330 Telegraph Ave, Oakland, CA 94609-3025 | 2012-01-29 |
| 1619164712 | Rai Care Centers of Oakland I, LLC | Clinic/Center | 2710 Telegraph Ave, Suite 205, Oakland, CA 94612-1770 | 2007-10-02 |
| Find all providers in OAKLAND | ||||
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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.