Organization Active NPI

Plateau Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Norfolk, VA
National Provider Identifier
1134488133
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
PLATEAU DIALYSIS LLC
Practice address
1817 E Little Creek Rd
Ste B
Norfolk, VA 23518-4203
Phone
(757) 587-9156
Fax
(757) 587-9720
NPI assigned
May 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Authorized official

Name
James K Hilger
Title
Chief Accounting Officer
Phone
(253) 272-1916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

1817 E Little Creek Rd
Ste B
Norfolk, VA 23518-4203

Mailing address

5200 Virginia Way
L&C Dept-Ste400
Brentwood, TN 37027-7569
Phone (615) 341-6789

Other names 1

  • Little Creek Home Training Doing business as

National Provider Directory

National Provider Directory

Member of 1

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

Locations

5200 Virginia Way
#400
Brentwood, TN 37027

1817 E Little Creek Rd
Ste B
Norfolk, VA 23518
Phone (757) 587-9156

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1134488133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPT-STE400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-341-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 E LITTLE CREEK RD",
            "address_2": "STE B",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235184203",
            "telephone_number": "757-587-9156",
            "fax_number": "757-587-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATEAU DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "HILGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "253-272-1916"
    },
    "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": "Little Creek Home Training",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.