Powerton Dialysis LLC

Primary specialty

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

License

1090DC Issued in OH

Legal business name

POWERTON DIALYSIS LLC

Doing business as

West Toledo Dialysis

Practice address

2900 Carskaddon Ave
Toledo, OH 43606-1601

Phone

(419) 531-0755

Fax

(419) 531-0957

NPI assigned

Jan 20, 2014

Organization subpart

No

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

Authorized official

Name

John Winstel

Title

Chief Accounting Officer

Phone

(253) 733-4501

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• West Toledo Dialysis Doing business as

Member of 1

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

• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Burlington, WA
  • NPI 1932595584

  Member Of

  NPD member

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

{
    "created_epoch": "1390176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1104248574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-238-3051",
            "fax_number": "800-246-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 CARSKADDON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061601",
            "telephone_number": "419-531-0755",
            "fax_number": "419-531-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWERTON DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-20",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "WINSTEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "253-733-4501"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "OH",
            "license": "1090DC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0140493",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Toledo Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Toledo Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Powell
• Lindsay Marie Powell
• Mackenzie Powell
• Neil Eugene Powell
• Valerie L Powell, QMHS
• PR Homecare LLC
• Sourabh Prabhakar, M.D.
• Lisa A Prado, CRNA
• Sadie Rose Prall
• Daniel Prampero

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Toledo, OH
• Providers in Toledo, 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 Jun 16, 2021; 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.