NPIMap

Organization Active NPI

Community Physicians Dialysis Center-Urbana, LLC.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Urbana, OH
National Provider Identifier
1386820645
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
COMMUNITY PHYSICIANS DIALYSIS CENTER-URBANA, LLC.
Practice address
1430 East US Hwy 36
Suite a
Urbana, OH 43078
Phone
(937) 328-8933
Fax
(937) 525-2466
NPI assigned
Jan 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Mr. Jeffrey S. Spiers, RN, CNN
Title
Director
Phone
(937) 328-8933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X OH Primary

Addresses

Primary practice location

1430 East US Hwy 36
Suite a
Urbana, OH 43078

Mailing address

247 S Burnett Rd
Suite 125
Springfield, OH 45505-2639
Phone (937) 328-8921

Other names 1

  • CPDC-Urbana Doing business as

National Provider Directory

National Provider Directory

Locations

247 S Burnett Rd
Ste 125
Springfield, OH 45505
Phone (937) 424-5986

NPI Registry JSON

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1386820645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 S BURNETT RD",
            "address_2": "SUITE 125",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455052639",
            "telephone_number": "937-328-8921",
            "fax_number": "937-525-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 EAST US HWY 36",
            "address_2": "SUITE A",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "43078",
            "telephone_number": "937-328-8933",
            "fax_number": "937-525-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PHYSICIANS DIALYSIS CENTER-URBANA, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "SPIERS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "937-328-8933",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN, CNN"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CPDC-Urbana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Urbana, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.