Cleveland Nephrology, PLLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

CLEVELAND NEPHROLOGY, PLLC

Practice address

1059 SE 82ND
Oklahoma City, OK 73149

Phone

(405) 512-6912

NPI assigned

Jan 8, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Oswald Llanderosos, MD

Title

Owner/Member

Phone

(405) 329-3830

Specialties & licenses 1

Addresses

Other names 1

• Home Dialysis Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1003146382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1561 N PORTER AVE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716621",
            "telephone_number": "405-329-3830",
            "fax_number": "405-329-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 SE 82ND",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73149",
            "telephone_number": "405-512-6912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND NEPHROLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "LLANDEROSOS",
        "authorized_official_first_name": "OSWALD",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "405-329-3830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sachia Janae Clemmons
• Simone Clemmons
• Danny Clemons
• Laketra Clemons
• Cleveland Nephrologists, PLLC
• Roxanne Cleveland
• Taylor Clark Cleveland
• Andrea Nicole Clevenger
• Patti Jane Cleves, D.D.S.
• Cliburn Counseling, PLLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.