Texoma Dialysis LLC

Primary specialty

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

Legal business name

TEXOMA DIALYSIS LLC

Doing business as

Affinity Place Dialysis

Practice address

7700 Affinity Dr
Cincinnati, OH 45231-3566

Phone

(513) 521-0981

Fax

(513) 521-1566

NPI assigned

Feb 11, 2015

Last updated

Feb 11, 2015By 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

James K Hilger

Title

Chief Accounting Officer

Phone

(253) 733-4500

Specialties & licenses 1

Addresses

Other names 1

• Affinity Place Dialysis Doing business as

Locations

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1144611278",
    "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": "615-341-6793",
            "fax_number": "866-409-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 AFFINITY DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452313566",
            "telephone_number": "513-521-0981",
            "fax_number": "513-521-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXOMA DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-02-11",
        "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": "253-733-4500"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affinity Place Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bruce Lyle Tetirick, M.D.
• Patricia A Tetirick, NP
• Ashley Tettenhorst, OTR/L
• Amit Tevar
• John M Tew Jr., M.D.
• TG Counseling LLC
• Julee Nicole Thabata
• Brooke A Thacker, CRNA, BSN, RN
• James N Thacker, D.D.S.
• Jarrad Michael Thacker, CDCA.173952

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Cincinnati, OH
• Providers in Cincinnati, 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 Feb 11, 2015; 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.