Active NPI
Dialysis Clinic Inc.
- Nephrology Physician
- Danville, KY
National Provider Identifier
1194739839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- DIALYSIS CLINIC INC.
- Practice address
- 204 S 2ND St
Danville, KY 40422-1804 - Phone
- (859) 236-6300
- Fax
- (859) 236-6308
- NPI assigned
- Jul 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Donovan Schultz
- Title
- President
- Phone
- (615) 327-3064
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary | ||
| Physician Assistant | 363A00000X | |||
| Acute Care Nurse Practitioner | 363LA2100X |
Addresses
Primary practice location
204 S 2ND St
Danville, KY 40422-1804
Mailing address
204 S 2ND St
Danville, KY 40422-1804
Phone (859) 236-6300
National Provider Directory
National Provider DirectoryLocations
2 Trillium Way
#202
Corbin, KY 40701
Phone (606) 523-1070
100 Venture Ct
Lexington, KY 40511
Phone (859) 252-7712
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Renal Nutrition Registered Dietitian
- Lexington, KY
- NPI 1548355605
-
- Nephrology Physician
- Lawrenceville, GA
- NPI 1063440451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696377600000",
"number": "1194739839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 S 2ND ST",
"city": "DANVILLE",
"state": "KY",
"postal_code": "404221804",
"telephone_number": "859-236-6300",
"fax_number": "859-236-6308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 S 2ND ST",
"city": "DANVILLE",
"state": "KY",
"postal_code": "404221804",
"telephone_number": "859-236-6300",
"fax_number": "859-236-6308"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIALYSIS CLINIC INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-28",
"last_updated": "2023-10-04",
"certification_date": "2023-10-04",
"status": "A",
"authorized_official_last_name": "SCHULTZ",
"authorized_official_first_name": "DONOVAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "615-327-3064",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, KY
- Sara Ann R. Derringer, SLP
- Jennifer L Devine, APRN
- William Gregory Devine Jr., MD
- Samantha Dewitt, NP
- Dialysis Clinic Inc
- Dialysis Clinic Inc.
- Jeremy T Dickinson, M.D.
- Anna Marie Greene Diggs, M.A., CCC-SLP
- DJR2 Professional Limited Liability Company (Danville Pediatric Dentistry Downtown)
- Denise Marie Dobbins Kowalik, OD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.