Wisconsin Dialysis, Inc.

Primary specialty

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

Legal business name

WISCONSIN DIALYSIS, INC.

Practice address

4600 American Pkwy
Ste 108
Madison, WI 53718-8337

Phone

(608) 243-3003

Fax

(608) 243-3005

NPI assigned

Aug 29, 2006

Last updated

Jun 24, 2019By 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

Kristine Holmes

Title

Authorized Official

Phone

(608) 270-5624

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• East Clinic Other name

Member of 3

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

• Meriter Hospital, Inc.

  dba UnityPoint Health - Meriter

  • General Practice Physician
  • Madison, WI
  • NPI 1932572955

  Member Of

  NPD member
• University of Wisconsin Hospitals and Clinics Authority

  • Pharmacy
  • Madison, WI
  • NPI 1548685316

  Member Of

  NPD member
• University of Wisconsin Medical Foundation, Inc

  dba Wausau Family Medicine

  • Multi-Specialty Clinic/Center
  • Wausau, WI
  • NPI 1033433495

  Member Of

  NPD member

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1114035912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3034 FISH HATCHERY RD",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537133125",
            "telephone_number": "608-270-5600",
            "fax_number": "608-270-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 AMERICAN PKWY",
            "address_2": "STE 108",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537188337",
            "telephone_number": "608-243-3003",
            "fax_number": "608-243-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN DIALYSIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "608-270-5624"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42059900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "East Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Wisconsin CVS Pharmacy LLC (CVS Pharmacy #07147)
• Wisconsin CVS Pharmacy LLC (Target Pharmacy)
• Wisconsin CVS Pharmacy, L.L.C. (CVS Pharmacy #04930)
• Wisconsin Dental Group, S.C. (ForwardDental Madison West)
• Wisconsin Dental Group, S.C. (ForwardDental Madison East)
• Wisconsin Family Mental Balance LLC (Wisconsin Family Mental Balance)
• Wisconsin Family Ties, Inc.
• Wisconsin Hearing AIDS Inc
• Wisconsin Heart, S.C.
• Wisconsin Hyperbaric Oxygen LLC (O2 Clinics)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Madison, WI
• Providers in Madison, WI by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.