Usrc Maumee, LLC

Primary specialty

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

Legal business name

USRC MAUMEE, LLC

Doing business as

U.S. Renal Care Maumee Dialysis

Practice address

1787 Indian Wood Cir
Maumee, OH 43537-4175

Phone

(419) 887-0729

Fax

(419) 887-0734

NPI assigned

Apr 28, 2016

Organization subpart

Yes

Parent organization

U.S. RENAL CARE, INC.As reported in NPPES

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

Authorized official

Name

Thomas L Weinberg

Title

Chairman

Phone

(214) 736-2730

Specialties & licenses 1

Addresses

Other names 1

• U.S. Renal Care Maumee Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

USRC Maumee DialysisCCN 362850

Overall star rating

4.0 of 5

Ownership

Profit

Certified

Sep 1, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

13

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

US Renal Care Inc

Locations

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Arjun Das, M.D.

  • Nephrology Physician
  • Toledo, OH
  • NPI 1811170533

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1083069991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 DALLAS PKWY",
            "address_2": "SUITE 350",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934370",
            "telephone_number": "214-736-2700",
            "fax_number": "214-736-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 INDIAN WOOD CIR",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435374175",
            "telephone_number": "419-887-0729",
            "fax_number": "419-887-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC MAUMEE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "214-736-2730"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care Maumee Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Melody L Vaitkus, PHD
• Alice Margaret Vandecaveye, LISW
• Nidhi Varma, M.D.
• Dianna Marie Vasher

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Maumee, OH
• Providers in Maumee, 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 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.