Roblin Dialysis LLC

Primary specialty

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

Legal business name

ROBLIN DIALYSIS LLC

Doing business as

Taylor Park Dialysis

Practice address

2363 Taylor Park Dr
Reynoldsburg, OH 43068-8052

Phone

(380) 248-2970

Fax

(380) 248-2988

NPI assigned

Feb 8, 2023

Last updated

Aug 24, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

DAVITA INCAs reported in NPPES

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

Authorized official

Name

Samuel T Wey

Title

Authorized Official

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other names 1

• Taylor Park Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

Davita Taylor Park DialysisCCN 722506

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Jan 3, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

13

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Davita Inc

Member of 2

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

• Dva Healthcare Renal Care Inc

  dba Amelia Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Amelia Court House, VA
  • NPI 1861456113

  Member Of

  NPD member
• Isd Renal Inc

  dba Renal Care of Carthage

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Carthage, MS
  • NPI 1912952110

  Member Of

  NPD member

Locations

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Erika Critell, DO

  • Nephrology Physician
  • Columbus, OH
  • NPI 1679032544

  Dialysis facility

  Care Compare affiliation Name & address match
• Kevin Lee Schroeder, M.D.

  • Nephrology Physician
  • Columbus, OH
  • NPI 1982662078

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1215634506",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2363 TAYLOR PARK DR",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430688052",
            "telephone_number": "380-248-2970",
            "fax_number": "380-248-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBLIN DIALYSIS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVITA INC",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-341-6641"
    },
    "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": "Taylor Park Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Taylor Park Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Saprena Marie Riley
• Marland Edward Rivers Sr.
• Bradley Roberti
• Sharde Nicole Roberts
• Latoya J Robinson, LPN
• Shawna Roby
• Daheima Rochester
• Stephanie L Rogers, CNP
• Rohi Non- Emergency Medical Transportation LLC
• Carla Leigh Rohr

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Reynoldsburg, OH
• Providers in Reynoldsburg, 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 Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.