SRS - Salida LLC

Primary specialty

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

Legal business name

SRS - SALIDA LLC

Practice address

1000 Rush Dr
Salida, CO 81201-9627

Phone

(615) 467-0140

Fax

(615) 259-0693

NPI assigned

Jan 19, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jerome Seymour Tannenbaum

Title

President

Phone

(615) 467-0140

Specialties & licenses 1

Addresses

Other names 1

• Sanderling Dialysis of Salida Doing business as

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421625600000",
    "number": "1245629971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 UNION ST STE 1800",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372191733",
            "telephone_number": "615-467-0140",
            "fax_number": "615-259-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 RUSH DR",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812019627",
            "telephone_number": "615-467-0140",
            "fax_number": "615-259-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRS - SALIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-19",
        "last_updated": "2015-01-19",
        "status": "A",
        "authorized_official_last_name": "TANNENBAUM",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "SEYMOUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-467-0140",
        "authorized_official_name_prefix": "Dr."
    },
    "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": "Sanderling Dialysis of Salida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Snowballs Eye Boutique LLC
• Solvista Health Corp.
• John Dean Sommers, D.C.
• Southern Colorado Urology
• Cody Lee Spanier, RPH
• Vince J Stack, M.D.
• Marissa Starr, FNP
• Cassandra Stauch, LCSW
• John Michael Strasswimmer, M.D.
• Michele Angelec Streeter, M.D.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Salida, CO
• Providers in Salida, CO by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; 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.