Isd Renal Inc

Primary specialty

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

Legal business name

ISD RENAL INC

Doing business as

Race Street Dialysis

Practice address

230 N Broad St
FL 12
Philadelphia, PA 19102-1121

Phone

(215) 563-9383

Fax

(215) 563-9429

NPI assigned

Jul 24, 2020

Last updated

Aug 20, 2021By 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

John D Winstel

Title

Chief Accounting Officer

Phone

(253) 733-4501

Specialties & licenses 1

Addresses

Other names 1

• Race Street Dialysis Doing business as

Member of 1

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

Locations (25 of 55)

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenya Melinda Burks, LMSW

  • Social Worker
  • Memphis, TN
  • NPI 1508119496
  NPD (past)
• Kayla Denise Butts, MS, RDN, LDN

  • Registered Dietitian
  • Corpus Christi, TX
  • NPI 1285244897
  NPD (past)
• Raymond Hakim, MD, PHD

  • Nephrology Physician
  • Nashville, TN
  • NPI 1366540213
  NPD (past)
• Omar O Hamze, M.D.

  • Specialist
  • Bartlett, TN
  • NPI 1437148293
  NPD (past)
• Mohammed Bahadur Khan, M.D.

  • Specialist
  • Memphis, TN
  • NPI 1235181710
  NPD (past)
• George Patrick Maxwell, M.D.

  • Plastic Surgery Physician
  • Nashville, TN
  • NPI 1295737930
  NPD (past)
• Kristin Sanchez

  • Clinical Social Worker
  • Cartersville, GA
  • NPI 1336537653
  NPD (past)
• Tammy Lynn Smart, RN

  • Registered Nurse
  • Auburn, IN
  • NPI 1154518348
  NPD (past)
• Jerome Seymour Tannenbaum, M.D., PH.D.

  • Nephrology Physician
  • Nashville, TN
  • NPI 1346485638
  NPD (past)
• Allison Randle White, MD

  • Nephrology Physician
  • Greenwood, MS
  • NPI 1760559751
  NPD (past)
• Syed Z Zahoor Ul Mueen, M.D.

  • Nephrology Physician
  • Rolla, MO
  • NPI 1790895597
  NPD (past)

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1225647332",
    "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": "615-341-6410",
            "fax_number": "888-662-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N BROAD ST",
            "address_2": "FL 12",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021121",
            "telephone_number": "215-563-9383",
            "fax_number": "215-563-9429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISD RENAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A",
        "authorized_official_last_name": "WINSTEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "253-733-4501"
    },
    "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": "Race Street Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Race Street Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marsha Shur Isard
• Irina Isayev, D.D.S.
• Gabriel Isaza Gonzalez
• Emily Lynn Isch, MD
• Isd Renal Inc (Fairmount Dialysis)
• Isd Renal Inc (Cedar Grove Dialysis)
• Isd Renal Inc (Girard Estates Dialysis)
• Isd Renal Inc (Northern Philadelphia Dialysis)
• Isd Renal Inc (Lehigh Avenue Dialysis)
• Isd Renal Inc (Memphis Street Renal Center)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.