Kidney Services of West Central Ohio LTD

Primary specialty

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

License

0755DC Issued in OH

Legal business name

KIDNEY SERVICES OF WEST CENTRAL OHIO LTD

Practice address

750 W High St
Ste 100
Lima, OH 45801-3959

Phone

(419) 227-0918

Fax

(419) 227-0873

NPI assigned

May 31, 2005

Last updated

Apr 4, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Dorinda J West, RN CNN

Title

Administrator

Phone

(419) 227-0918

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Mercy Health-St Ritas Medical Center LLC

  dba Mercy Health-Lima Hospital Rehab Center

  • Rehabilitation Hospital Unit
  • Lima, OH
  • NPI 1538185020

  Member Of

  NPD member

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1053314435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 W HIGH ST",
            "address_2": "STE 100",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458013959",
            "telephone_number": "419-227-0918",
            "fax_number": "419-227-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W HIGH ST",
            "address_2": "STE 100",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458013959",
            "telephone_number": "419-227-0918",
            "fax_number": "419-227-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY SERVICES OF WEST CENTRAL OHIO LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "DORINDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "419-227-0918",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN CNN"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "OH",
            "license": "0755DC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2410199",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noorul Hasan Khan, M.D.
• Rajaa Fatima Younus Khan, MD
• Hamid R Khatibi, MD
• Joy Khoury, RPH
• Kidney & Hypertension Associates, Inc.
• Kidz Paradise Pediatrics
• Scott Kiefer, LDO
• Elaine A Kiene, PCC
• Hanna B Kifetew, MD
• Julie Kiggins, RPH

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lima, OH
• Providers in Lima, OH by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.