CLEVELAND NEPHROLOGISTS, PLLC (NPI# 1851621213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851621213 |
| Entity Type | Organization |
| Organization Name | CLEVELAND NEPHROLOGISTS, PLLC |
| Other Organization Name | HOME DIALYSIS CENTER |
| Practice Address |
1059 Se 82nd Oklahoma City OK 73149-2902 |
| Mailing Address |
1561 N. Porter Ave Norman OK 73071-6621 |
| Practice Telephone | 4053293830 |
| Practice Fax Number | 4053293791 |
| Mailing Telephone | 4053293830 |
| Mailing Fax Number | 4053293791 |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2010-11-02 |
| Authorized Official Name | DR. OSWALD LLANDEROSOS (OWNER/MEMBER) |
| Authorized Official Telephone | 4053293830 |
| Authorized Official Credential | MD |
| 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 | MEDICARE PROVIDER NUMBER | 37-2579 | 01 |
| Other Name | Type Code |
|---|---|
| Home Dialysis Center | Doing Business As Name - Organization |
| Street Address |
1059 SE 82ND |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73149-2902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003146382 | Cleveland Nephrology, Pllc | Clinic/Center | 1059 Se 82nd, Oklahoma City, OK 73149 | 2010-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649747841 | Pharmacorr, LLC | Pharmacy | 7400 Plaza Mayor Blvd, Ste 100, Oklahoma City, OK 73149 | 2018-10-26 |
| 1184910648 | Linda J Ellis | Counselor | 108 Corona Drive, Oklahoma City, OK 73149 | 2011-06-23 |
| 1922252766 | Sam's Optical, Oklahoma City, LLC | Durable Medical Equipment & Medical Supplies | 1078d Crossroads Mall, Oklahoma City, OK 73149 | 2008-11-06 |
| 1013193655 | American Current Care P.a. | Clinic/Center | 7100 S I-35 Service Road, Suite 7, Oklahoma City, OK 73149 | 2008-01-14 |
| 1750401105 | Tiffany K. Loftis | Physical Therapist | 7100 South I-35 Service Rd, Suite 7, Oklahoma City, OK 73149 | 2007-03-30 |
| 1881711943 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 7100 S. I-35 Service Road, Suite 7, Oklahoma City, OK 73149 | 2007-03-23 |
| 1013935774 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 100 E I 240 Service Rd, Oklahoma City, OK 73149-1612 | 2006-07-18 |
| 1316548332 | Ilana Betuel Peiroo | Pharmacist | 100 E I 240 Service Rd, Oklahoma City, OK 73149-1612 | 2020-11-05 |
| 1508466087 | Rebecca Frye | Pharmacist | 100 E I 240 Service Rd, Oklahoma City, OK 73149-1612 | 2020-10-26 |
| 1477172179 | James Morgan Ely | Pharmacist | 100 E I 240 Service Rd, Oklahoma City, OK 73149-1612 | 2020-04-13 |
| Find all providers in zip 73149 | ||||
| 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 |
|---|---|---|---|---|
| 1043820111 | Midtown Home Dialysis LLC | Clinic/Center | 621 Nw 6th St, Oklahoma City, OK 73102-1203 | 2020-08-04 |
| 1346879640 | Fresenius Medical Care Okcd, LLC | Clinic/Center | 3012 Nw 150th St, Oklahoma City, OK 73134-2030 | 2020-04-07 |
| 1124509245 | Renal Treatment Centers West Inc | Clinic/Center | 6917 N May Ave, Oklahoma City, OK 73116-3238 | 2018-08-27 |
| 1942578422 | Rusk Dialysis. LLC | Clinic/Center | 1059 Se 82nd St, Oklahoma City, OK 73149-2999 | 2011-12-12 |
| 1710214788 | Fresenius Medical Care Central Oklahoma City Dialysis Center, LLC | Clinic/Center | 3107 Nw 50th St, Oklahoma City, OK 73112-5302 | 2009-11-11 |
| 1295882397 | Bio-medical Applications of Oklahoma, Inc. | Clinic/Center | 200 Ne 50th St, Oklahoma City, OK 73105-1812 | 2007-01-04 |
| 1174686513 | Fresenius Medical Care 5856, LLC | Clinic/Center | 5419 S Western Ave, Oklahoma City, OK 73109-4506 | 2006-12-18 |
| 1265592661 | Fresenius Integris, LLC | Clinic/Center | 3806 N Barr Ave, Oklahoma City, OK 73122-2410 | 2006-12-08 |
| 1285746172 | Bio-medical Applications of Oklahoma, Inc. | Clinic/Center | 1011 N Dewey Ave Ste 300, Oklahoma City, OK 73102-1024 | 2006-08-31 |
| 1659483527 | Nna of Oklahoma, L.L.C. | Clinic/Center | 5401 N Portland Ave Ste 280, Oklahoma City, OK 73112-2082 | 2006-08-31 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73149 |
Please comment or provide details below to improve the information on CLEVELAND NEPHROLOGISTS, PLLC.
| 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.