Grayson Dialysis and Kidney Center

Primary specialty

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

Legal business name

GRAYSON DIALYSIS AND KIDNEY CENTER

Practice address

1656 13TH Ave
Huntington, WV 25701-3829

Phone

(304) 529-2090

Fax

(304) 522-2658

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Subhash Kumar, MD

Title

Owner Medical Director

Phone

(304) 654-8074

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316069701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 HIGHWAY 1947",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "41143",
            "telephone_number": "606-474-2310",
            "fax_number": "606-474-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 13TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013829",
            "telephone_number": "304-529-2090",
            "fax_number": "304-522-2658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYSON DIALYSIS AND KIDNEY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "SUBHASH",
        "authorized_official_title_or_position": "OWNER MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "304-654-8074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810006539",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS PROV NUMBER",
            "identifier": "000000494978",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Nicole Gray I, CCC-SLP
• Tareka Masha Gray
• Tiffanny Octavia Gray
• Alexander Graybeal
• Grayson Assisted Living Facility
• Marie D Graziani, AUD CCCA
• Adain Green
• Catrina Green
• Chavon Green
• Haley Green

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Huntington, WV
• Providers in Huntington, WV by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in West Virginia

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.