SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS LLC (NPI# 1932688256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932688256 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS LLC |
| Other Organization Name | EVERGREEN PARK DIALYSIS |
| Practice Address |
926 E Mcdowell Rd Ste 100 Phoenix AZ 85006-2503 |
| Mailing Address |
5200 Virginia Way Brentwood TN 37027-7569 |
| Practice Telephone | 6022521418 |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |
| Authorized Official Name | JAMES HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 3105362400 |
| 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 |
|---|---|
| Evergreen Park Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770714701 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 975 W Chandler Heights Rd, Unit 101, Chandler, AZ 85248-5724 | 2009-08-08 |
| 1770758526 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 4845 W Mcdowell Rd, Ste 10a, 20a, 30a, Phoenix, AZ 85035-4076 | 2008-04-23 |
| 1164948121 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 1521 E Tangerine Rd Ste 101, Oro Valley, AZ 85755-6214 | 2017-08-21 |
| 1821344581 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 301 S Power Rd, Ste 104, Mesa, AZ 85206-5243 | 2012-07-31 |
| 1093071821 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 811 N Tegner St, Suites 101, 103, 105, 107, Wickenburg, AZ 85390-5409 | 2012-04-05 |
| 1700059227 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 1134 E University Dr, Ste 101, Mesa, AZ 85203-8048 | 2008-04-04 |
| 1790969681 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 20325 N 51st Ave, Bldg 11 Ste 184, Glendale, AZ 85308-5674 | 2007-12-27 |
| 1578746277 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 2149 E Warner Rd, Ste 110, Tempe, AZ 85284-3496 | 2007-12-17 |
| 1093998767 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 5222 E Baseline Rd, Ste 104, Gilbert, AZ 85234-2963 | 2007-12-17 |
| 1033392709 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 8410 W Thomas Rd, Ste 100 Bldg 1, Phoenix, AZ 85037-3356 | 2007-12-17 |
| Street Address |
926 E MCDOWELL RD STE 100 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| 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 |
|---|---|---|---|---|
| 1649730953 | Scottsdale Kidney Center LLC | Clinic/Center | 6970 E Chauncey Ln Ste 130, Phoenix, AZ 85054-5159 | 2019-03-22 |
| 1982152484 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 4901 W Mcdowell Rd Ste 120, Phoenix, AZ 85035-4160 | 2016-09-14 |
| 1528442779 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 16605 N 28th Ave Ste 100, Phoenix, AZ 85053-7551 | 2015-07-17 |
| 1295070761 | Calaveras Dialysis LLC | Clinic/Center | 5115 E Thomas Rd, Ste 115, Phoenix, AZ 85018-7914 | 2012-12-10 |
| 1801050604 | Southwest Kidney-davita Dialysis Partners LLC | Clinic/Center | 3540 E Baseline Rd Ste 110, Phoenix, AZ 85042-9628 | 2008-07-11 |
| 1770758526 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 4845 W Mcdowell Rd, Ste 10a, 20a, 30a, Phoenix, AZ 85035-4076 | 2008-04-23 |
| 1891897211 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 1957 W Dunlap Ave Ste 6c, Phoenix, AZ 85021-2985 | 2006-09-05 |
| 1053423954 | Bio-medical Applications of Arizona LLC | Clinic/Center | 3421 N 7th Ave, Phoenix, AZ 85013-3635 | 2006-08-31 |
| 1477665289 | Renal Dimensions, LLC | Clinic/Center | 15930 S 48th St, Suite 100, Phoenix, AZ 85048-0903 | 2006-08-31 |
| 1578675377 | Bio-medical Applications of Arizona, Inc. | Clinic/Center | 1957 W Dunlap Ave, Suite 7, Phoenix, AZ 85021-2985 | 2006-08-31 |
| Find all providers in PHOENIX | ||||
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.