Wheeling Renal Care LLC

Primary specialty

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

Legal business name

WHEELING RENAL CARE LLC

Doing business as

New Martinsville Dialysis Facility

Practice address

1 Benjamin Dr
New Martinsville, WV 26155

Phone

(304) 455-2700

Fax

(304) 455-4151

NPI assigned

Jun 22, 2005

Last updated

Aug 22, 2020By 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. Debra Lucki, R.N.

Title

Assistant Administrator

Phone

(304) 242-7770

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• New Martinsville Dialysis Facility Doing business as

Member of 1

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

• Wheeling Hospital, Inc.

  • Obstetrics & Gynecology Physician
  • Saint Clairsville, OH
  • NPI 1982061347

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marion H Drews Jr., M.D.

  • Nephrology Physician
  • Wheeling, WV
  • NPI 1316908627
  NPD (past)
• Derrick L Latos, M.D.

  • Nephrology Physician
  • Wheeling, WV
  • NPI 1962463273
  NPD (past)

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073519369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MEDICAL PARK",
            "address_2": "STE 100",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260037600",
            "telephone_number": "304-242-7770",
            "fax_number": "304-243-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BENJAMIN DR",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "26155",
            "telephone_number": "304-455-2700",
            "fax_number": "304-455-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEELING RENAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUCKI",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "304-242-7770",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2117659",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0122604000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Martinsville Dialysis Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wetzel County Hosptial (Wetzel County Homecare)
• Wetzel Couny Coa
• Wetzel Tyler Board of Health (Guiler)
• Wheeling Hospital Inc (Wetzel County Health Center)
• Wheeling Hospital, Inc.
• Samuel Daugherty White
• Eddye Wickes, BA
• Christi'Anna Wildman
• Leslie Williams
• Tamara Rae Wilson

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New Martinsville, WV
• Providers in New Martinsville, WV by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.