Greater Columbus Regional Dialysis LLC

Primary specialty

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

Legal business name

GREATER COLUMBUS REGIONAL DIALYSIS LLC

Practice address

285 E State St
Suite 170
Columbus, OH 43215-4354

Phone

(614) 228-9114

Fax

(614) 228-9120

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

John P Maclaurin, DO

Title

Medical Director

Phone

(614) 460-6100

Specialties & licenses 1

Addresses

Other identifiers 3

Listed as

Fresenius Medical Care Greater Columbus Regional DialysisCCN 362627

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Apr 18, 2000

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Fresenius Medical Care

Dialysis stations

30

Affiliated clinicians 2

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

• Saleem H Bharmal, M.D.

  • Nephrology Physician
  • Columbus, OH
  • NPI 1336348721

  Dialysis facility

  Care Compare affiliation Name & address match
• Brian J Mussio, DO

  • Nephrology Physician
  • Columbus, OH
  • NPI 1417146796

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255440129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 E STATE ST",
            "address_2": "SUITE 170",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43215",
            "telephone_number": "614-228-9114",
            "fax_number": "614-228-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 E STATE ST",
            "address_2": "SUITE 170",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154354",
            "telephone_number": "614-228-9114",
            "fax_number": "614-228-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER COLUMBUS REGIONAL DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACLAURIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "614-460-6100",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000217816",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2202691",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "6800201",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Columbus, OH
• Providers in Columbus, 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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.