Midwest Dialysis Center, Inc

Primary specialty

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

Legal business name

MIDWEST DIALYSIS CENTER, INC

Doing business as

Midwest Dialysis Center-Glendale Branch

Practice address

400 W Estabrook Blvd
Glendale, WI 53212-1079

Phone

(414) 332-9960

Fax

(414) 332-3487

NPI assigned

Jul 8, 2006

Last updated

Nov 1, 2011By 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

Mr. David A Kurz

Title

V. P. Operations

Phone

(414) 762-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Midwest Dialysis Center-Glendale Branch Doing business as

Locations

Practitioners 2

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.

• James C Brandes, M.D.

  • Nephrology Physician
  • Milwaukee, WI
  • NPI 1386636371
  NPD (past)
• Gregory V Warren, MD

  • Nephrology Physician
  • Milwaukee, WI
  • NPI 1649262544
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1316970080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 MAHN CT",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531542155",
            "telephone_number": "414-762-2020",
            "fax_number": "414-762-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W ESTABROOK BLVD",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532121079",
            "telephone_number": "414-332-9960",
            "fax_number": "414-332-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST DIALYSIS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "KURZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "V. P. OPERATIONS",
        "authorized_official_telephone_number": "414-762-2020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42057700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Dialysis Center-Glendale Branch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Meyer Chan, PH.D.
• Courtney F Meyer, FNP
• Katelyn Ruth Michals, L.AC.
• Austin Hugh Middleton, MD
• Donald Kevin Middleton, MD
• Midwest Interventional Pain and Diagnostics
• Midwest Spine Center SC
• Konstantin Y Mikhailov, MD
• Marisa K Miller
• Milwaukee Family Chiropractic

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Glendale, WI
• Providers in Glendale, WI by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.