Wisner Dialysis LLC

Primary specialty

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

Legal business name

WISNER DIALYSIS LLC

Doing business as

Clermont Dialysis

Practice address

1350 N Hancock Rd
Clermont, FL 34711-0000

Phone

(615) 320-4286

Fax

(866) 594-2893

NPI assigned

Dec 14, 2017

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) 734-5003

Specialties & licenses 1

Addresses

Other names 1

• Clermont Dialysis Doing business as

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513209600000",
    "number": "1205341120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-320-4286",
            "fax_number": "866-594-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 N HANCOCK RD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347110000",
            "telephone_number": "615-320-4286",
            "fax_number": "866-594-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISNER DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-14",
        "last_updated": "2017-12-14",
        "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": "253-734-5003"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clermont Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason Wilt, M.D.
• Gary Michael Winfrey, D.O.
• Kelley Winfrey, DO
• Julie Alyn Winter, RN, IBCLC
• Peter James Wise, OTR/L,CHT, GTS
• Maria Virginia Wittebort, L.M
• Michael L Wolak, PH.D., M.D.
• Women'S Care of Clermont PA
• Alan M. Wong, D.M.D.
• Khanhmei L. Wong, D.P.M

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Clermont, FL
• Providers in Clermont, FL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2017; 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.