Dialysis Specialists of Marion, Inc

Primary specialty

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

Legal business name

DIALYSIS SPECIALISTS OF MARION, INC

Practice address

125 Executive Dr
Marion, OH 43302-6285

Phone

(740) 401-0880

Fax

(740) 401-0885

NPI assigned

May 30, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Subbarayudu Koppera, MD

Title

President/Owner

Phone

(614) 371-5580

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1306713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306713600000",
    "number": "1174817829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 EXECUTIVE DR",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 EXECUTIVE DR",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026285",
            "telephone_number": "740-401-0880",
            "fax_number": "740-401-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS SPECIALISTS OF MARION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-30",
        "last_updated": "2011-05-30",
        "status": "A",
        "authorized_official_last_name": "KOPPERA",
        "authorized_official_first_name": "SUBBARAYUDU",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "614-371-5580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Max Lee Denton I, D.C.
• Dermatology Associates of Mid-Ohio
• Solomon Zvi Derrow, M.D.
• Bipin Manharlal Desai, M.D.
• Nicholas Robert Desantis, D.M.D.
• Colton Dickerson
• Tanya Dingwall
• Christina Dipiero
• David Dirr, LISW
• Chasity Dissinger

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Marion, OH
• Providers in Marion, 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 May 30, 2011; 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.