Dca of Warsaw LLC

Primary specialty

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

Legal business name

DCA OF WARSAW LLC

Practice address

4709 Richmond Road
Warsaw Village Shopping Center
Warsaw, VA 22572

Phone

(804) 333-4444

Fax

(804) 333-0400

NPI assigned

Apr 11, 2006

Organization subpart

Yes

Parent organization

U S RENAL CARE INCAs reported in NPPES

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

Authorized official

Name

Mr. Thomas L Weinberg

Title

Vice President & Secretary

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• U S Renal Care Warsaw Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Listed as

Usrc WarsawCCN 492622

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Jan 30, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

15

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

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vicki A Kinsel, MD

  • Nephrology Physician
  • Kilmarnock, VA
  • NPI 1366402455
  NPD (past)

Affiliated clinicians 2

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

• Bhavesh M Patel, MD

  • Nephrology Physician
  • Mechanicsville, VA
  • NPI 1942273602

  Dialysis facility

  Care Compare affiliation Name & address match
• Deep Vinu Patel, MD

  • Nephrology Physician
  • Mechanicsville, VA
  • NPI 1154593168

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1124081963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19119",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724036601",
            "telephone_number": "870-931-5400",
            "fax_number": "870-931-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 RICHMOND ROAD",
            "address_2": "WARSAW VILLAGE SHOPPING CENTER",
            "city": "WARSAW",
            "state": "VA",
            "postal_code": "22572",
            "telephone_number": "804-333-4444",
            "fax_number": "804-333-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DCA OF WARSAW LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U S RENAL CARE INC",
        "enumeration_date": "2006-04-11",
        "last_updated": "2013-10-25",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT & SECRETARY",
        "authorized_official_telephone_number": "214-736-2700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "136730",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "136730",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010054486",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U S Renal Care Warsaw",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anastasia Dumbra Cleary, MD
• Commonwelath of Virginia State Board of Health
• D & R Medical Ride, LLC.
• William Edward Dameron, MD
• Dart Transportationllc
• Joseph David Dolansky, D.O.
• Wanda J Dungan, L.P.C.
• Joanna Singer Eddy
• Victoria Deann Ellis, LPN
• Joel Ryan Faucett, CCC-SLP

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Warsaw, VA
• Providers in Warsaw, VA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; 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.