Western Skies Dialysis Inc

Primary specialty

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

License

OTC 0576 Issued in AZ

Legal business name

WESTERN SKIES DIALYSIS INC

Practice address

1041 N Arizola Rd
Casa Grande, AZ 85122-6003

Phone

(520) 836-5883

Fax

(520) 836-2728

NPI assigned

Jan 9, 2007

Last updated

Sep 21, 2010By 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

Dr. Jean Letarte, M.D.NPI 1225009350

Title

President

Phone

(520) 836-5883

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Jean Letarte, M.D.

  • Specialist
  • Casa Grande, AZ
  • NPI 1225009350
  Authorized official Same address or phone

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1093864225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 N ARIZOLA RD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851226003",
            "telephone_number": "520-836-5883",
            "fax_number": "520-836-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 N ARIZOLA RD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851226003",
            "telephone_number": "520-836-5883",
            "fax_number": "520-836-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN SKIES DIALYSIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "LETARTE",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-836-5883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "AZ",
            "license": "OTC 0576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1155239",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas Mark Weber, M.D.
• Charissa Wee, MS
• Well Fit Behavior LLC
• Monte B Wells, DDS
• Western Dental of Arizona, Inc.
• Emily Wetter, LPC
• Eric B Wheeler, PA-C
• Erica Hazel Whitney, OTRL, CHT
• Jake James Whitwam, PHARMD
• Whole Health Alliance

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.