SOUTHWEST KIDNEY - DAVITA DIALYSIS PARTNERS LLC (NPI# 1932353950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932353950 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST KIDNEY - DAVITA DIALYSIS PARTNERS LLC |
| Other Organization Name | BROOKWOOD DIALYSIS CENTER |
| Practice Address |
8910 N 43rd Ave Ste 107 Glendale AZ 85302-5340 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 6239372735 |
| Practice Fax Number | 6239372758 |
| Mailing Telephone | 6153416814 |
| Mailing Fax Number | 8002938405 |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2020-03-19 |
| Authorized Official Name | JOHN D 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 |
|---|---|---|---|
| AZ | 481882 | 05 |
| Other Name | Type Code |
|---|---|
| Brookwood Dialysis Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215577598 | Southwest Kidney - Davita Dialysis Partners LLC | Clinic/Center | 14671 W Mountain View Blvd Ste 102, Surprise, AZ 85374-4840 | 2020-01-14 |
| 1437612165 | Southwest Kidney - Davita Dialysis Partners LLC | Clinic/Center | 14620 W Encanto Blvd Ste 110, Goodyear, AZ 85395-1616 | 2019-04-10 |
| Street Address |
8910 N 43RD AVE STE 107 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85302-5340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164518627 | Kris K Iganian | Dentist | 8910 N 43rd Ave, 104, Glendale, AZ 85302-5339 | 2006-10-04 |
| 1811380959 | Rescare Arizona, Inc. | Day Training, Developmentally Disabled Services | 8910 N 43rd Ave, Suite 101a, Glendale, AZ 85302-5339 | 2015-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736190 | Tyler Davis LLC | Psychologist | 8607 N 59th Ave Suite C-6, Glendale, AZ 85302 | 2020-10-05 |
| 1679098420 | Sidney M Kingery | Physical Therapist | 5810 W Peoria Ave, Glendale, AZ 85302 | 2017-08-12 |
| 1255877825 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5651 W. Harmont Dr, Glendale, AZ 85302 | 2017-01-06 |
| 1346696382 | Megan Mari Byrne | Chiropractor | 8425 N 61st Dr., Glendale, AZ 85302 | 2016-05-09 |
| 1558742007 | Farzan Mojgani | Dentist | 5929 W. Peoria Ave. Suite 101, Glendale, AZ 85302 | 2015-06-10 |
| 1255757308 | Glendale Modern Dentistry, LLP | Dentist | 5143 West Olive Ave, Suite 140, Glendale, AZ 85302 | 2014-03-13 |
| 1518391341 | Crystal Nicole-marie Whitman | Physical Therapy Assistant | 5411 W. Cinnabar Ave., Glendale, AZ 85302 | 2013-08-28 |
| 1013349570 | A New Leaf | Clinic/Center | 8581 N 61st Ave, Building A, Suite 101-102, Glendale, AZ 85302 | 2013-08-06 |
| 1255602439 | Alicia S Fennemore | Specialist/Technologist | 352 E. Camelback Rd., Suite 102, Phoenix, AZ 85302 | 2012-01-20 |
| 1639306731 | Total Medical Care, LLC | Clinic/Center | 5048 W. Northern Avenue, Suite 105, Glendale, AZ 85302 | 2009-06-16 |
| Find all providers in zip 85302 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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|---|---|---|---|---|
| 1437613916 | Premier Home Dialysis Services | Clinic/Center | 20118 N 67th Ave Ste 300-527, Glendale, AZ 85308-4621 | 2019-01-29 |
| 1538666045 | Bio-medical Applications of Arizona LLC | Clinic/Center | 6622 N 91st Ave Ste 120, Glendale, AZ 85305-2512 | 2018-04-11 |
| 1538661483 | Bio-medical Applications of Arizona LLC | Clinic/Center | 6622 N 91st Ave Ste 210, Glendale, AZ 85305-2569 | 2018-03-07 |
| 1174043046 | Yards Dialysis LLC | Clinic/Center | 6850 San Fernando Rd, Glendale, CA 91201-1642 | 2017-06-22 |
| 1396111886 | Fresenius Medical Care Glendale, LLC | Clinic/Center | 623 S Central Ave, Glendale, CA 91204 | 2015-08-19 |
| 1962888560 | Genesis Services, LLC | Clinic/Center | 7407 88th St, Glendale, NY 11385-7951 | 2015-08-05 |
| 1578947636 | Bio-medical Applications of Arizona LLC | Clinic/Center | 4407 W Peoria Ave, Glendale, AZ 85302-2036 | 2015-07-17 |
| 1437241403 | Glendale Nephrology Services, LLC | Clinic/Center | 1427 S Glendale Ave, Glendale, CA 91205-3313 | 2006-09-28 |
| 1598877490 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 16844 N 59th Ave, Glendale, AZ 85306-1118 | 2006-08-31 |
| 1851403752 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 5957 W Northern Ave Ste 108, Glendale, AZ 85301-7825 | 2006-08-31 |
| Find all providers in GLENDALE | ||||
Please comment or provide details below to improve the information on SOUTHWEST KIDNEY - DAVITA DIALYSIS PARTNERS 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.