ISD RENAL INC (NPI# 1912952169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912952169 |
Entity Type | Organization |
Organization Name | ISD RENAL INC |
Other Organization Name | LAS CRUCES RENAL CENTER |
Practice Address |
3961 E Lohman Ave Ste 29 Las Cruces NM 88011-8272 |
Mailing Address |
5200 Virginia Way L&c Department Brentwood TN 37027-7569 |
Practice Telephone | 5755329437 |
Practice Fax Number | 5755217348 |
Mailing Telephone | 6153416814 |
Mailing Fax Number | 8002938405 |
Enumeration Date | 2006-05-24 |
Last Update Date | 2020-03-18 |
Authorized Official Name | MR. JOHN WINSTEL (CHIEF ACCOUNTING OFFICER) |
Authorized Official Telephone | 2537334501 |
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 |
---|---|---|---|
NM | 71975829 | 05 |
Other Name | Type Code |
---|---|
Las Cruces Renal Center | 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 |
3961 E LOHMAN AVE STE 29 |
City | LAS CRUCES |
State | NM |
Zip Code | 88011-8272 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902437999 | Tania Danette Billstone-simpson | Nurse Practitioner | 3961 E Lohman Ave, Las Cruces, NM 88011-8269 | 2020-01-29 |
1669890083 | Desiree Nicole Felker | Mechanotherapist | 3961 E Lohman Ave, Suite 34, Las Cruces, NM 88011-8269 | 2014-04-02 |
1518392380 | Ageless Medical Spa - Clinic | Nurse Practitioner | 3961 E Lohman Ave, Suite 12, Las Cruces, NM 88011-8269 | 2013-09-11 |
1326307034 | Dan Mitchell | Massage Therapist | 3961 E Lohman Ave, Las Cruces, NM 88011-8269 | 2012-05-15 |
1326290123 | Roxana J Valenzuela | Mechanotherapist | 3961 E Lohman Ave, Las Cruces, NM 88011-8269 | 2008-10-13 |
1942450150 | Sasha Irene Thornock | Mechanotherapist | 3961 E Lohman Ave, Las Cruces, NM 88011-8269 | 2008-09-24 |
1275789059 | Jana Lea Horvath | Massage Therapist | 3961 E Lohman Ave, Las Cruces, NM 88011-8269 | 2008-08-13 |
1639386881 | Miguel Angel Avalos | Technician/Technologist | 3961 E Lohman Ave, Suite 11, Las Cruces, NM 88011-8269 | 2007-05-17 |
1508934019 | Kristy L Scullion-mcpherson | Psychologist | 3961 E Lohman Ave, Ste 34, Las Cruces, NM 88011-8269 | 2006-12-01 |
1437175171 | Robert L. Patterson | Emergency Medicine | 3961 E Lohman Ave, Las Cruces, NM 88011-8269 | 2006-07-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
Find all providers in zip 88011 |
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 |
---|---|---|---|---|
1457829269 | Valley Home Dialysis | Clinic/Center | 3900 E Lohman Ave Ste B1, Las Cruces, NM 88011-8268 | 2018-11-09 |
1235636283 | Usrc Las Cruces LLC | Clinic/Center | 250 E Amador Ave, Las Cruces, NM 88001-3649 | 2018-04-06 |
1942643861 | Foss Dialysis LLC | Clinic/Center | 2550 S Telshor Blvd, Las Cruces, NM 88011-4907 | 2013-04-10 |
1447362348 | Renal Care Group South New Mexico, LLC | Clinic/Center | 3875 Foothills Rd, Las Cruces, NM 88011-4620 | 2006-08-31 |
1568733913 | Las Cruces Home Therapies | Clinic/Center | 2919 Hillrise Dr, Las Cruces, NM 88011-4701 | 2012-01-17 |
1619037017 | Renal Care Group South New Mexico, LLC | Clinic/Center | 2525 S Telshor Blvd, Suite B, Las Cruces, NM 88011-5071 | 2006-12-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447866108 | Bio-medical Applications of New Mexico, Inc. | Clinic/Center | 2050 Knudsen Ave, Ste C, Farmington, NM 87401-9070 | 2020-09-18 |
1306499405 | Trc Four Corners Dialysis Clinics LLC | Clinic/Center | 4525 Rowe Ave, Farmington, NM 87402-3013 | 2019-07-18 |
1124523857 | Bio Medical Applications of New Mexico, Inc. | Clinic/Center | 5221 Las Soleras Dr, Santa Fe, NM 87507-2101 | 2018-03-26 |
1710406301 | Dialysis Clinic Inc | Clinic/Center | 8121 Central Ave Nw, Albuquerque, NM 87121-2125 | 2017-09-14 |
1033634175 | Chantry Dialysis, LLC | Clinic/Center | 10410 Copper Point Way Ne, Albuquerque, NM 87123-1158 | 2017-08-10 |
1124477112 | Home Dialysis of Santa Fe, LLC | Clinic/Center | 2904 Rodeo Park Dr E Ste 300a-1, Santa Fe, NM 87505-6305 | 2016-06-09 |
1811358609 | Solid Rock Dialysis, LLC | Clinic/Center | 1580 Highway 264, Suite A, Gallup, NM 87301-3302 | 2016-03-08 |
1003274309 | Fresenius Medical Care Sandhill, LLC | Clinic/Center | 1306 Enterprise Rd., Socorro, NM 87801 | 2016-02-02 |
1386016541 | Bogachiel Dialysis LLC | Clinic/Center | 5201 San Mateo Blvd Ne, Albuquerque, NM 87109-2414 | 2015-10-28 |
1952770984 | Usrc Clovis, LLC | Clinic/Center | 4024 N Prince St, Clovis, NM 88101-9704 | 2015-09-21 |
Find all providers with the same taxonomy |
City | LAS CRUCES |
Zip Code | 88011 |
Please comment or provide details below to improve the information on ISD RENAL INC.
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.