Usrc Weatherford LLC

Primary specialty

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

License

008567 Issued in TX

Legal business name

USRC WEATHERFORD LLC

Doing business as

U.S. Renal Care Weatherford Dialysis
US Renal Care Tarrant Dialysis Weatherford

Practice address

504 Santa Fe Dr
Weatherford, TX 76086-6503

Phone

(817) 877-3934

Fax

(817) 877-1308

NPI assigned

May 23, 2006

Organization subpart

Yes

Parent organization

US RENAL CARE INCAs reported in NPPES

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

Authorized official

Name

Mr. Thomas L Weinberg

Title

Vice President - General Counsel

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other names 2

• U.S. Renal Care Weatherford Dialysis Doing business as
• US Renal Care Tarrant Dialysis Weatherford Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Usrc WeatherfordCCN 672543

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Jul 10, 2006

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

19

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Geethanjali Ramamurthy, MD

  • Nephrology Physician
  • Fort Worth, TX
  • NPI 1093707887
  NPD (past)

Affiliated clinicians 2

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

• Aaron Mark Hopkins

  • Nephrology Physician
  • Fort Worth, TX
  • NPI 1699237693

  Dialysis facility

  Care Compare affiliation Name & address match
• Thomas Rajan, M.D.

  • Nephrology Physician
  • Fort Worth, TX
  • NPI 1184739849

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1295780054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251549",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750251500",
            "telephone_number": "870-931-5400",
            "fax_number": "870-931-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 SANTA FE DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760866503",
            "telephone_number": "817-877-3934",
            "fax_number": "817-877-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC WEATHERFORD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "US RENAL CARE INC",
        "enumeration_date": "2006-05-23",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT - GENERAL COUNSEL",
        "authorized_official_telephone_number": "214-736-2700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": "008567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care Weatherford Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "US Renal Care Tarrant Dialysis Weatherford",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "US Renal Care Tarrant Dialysis Weatherford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandi Lee Tyler, LPC
• Omokhobho William Ugege, PHARMD
• Reuben W. Uniat, MD
• Whitney Unterwagner, PHARMD
• Urology Associates of North Texas LLP
• Obukohwo Uti
• Stephanie Utley, SLP
• Amanda Michelle Utterback, MPT
• Glennis Eden Vacca
• Mary Elizabeth Van Cleave, PT, DPT

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Weatherford, TX
• Providers in Weatherford, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.