NPIMap

Organization Active NPI

Kidney Services of West Central Ohio LTD

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Celina, OH
National Provider Identifier
1427207604
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
KIDNEY SERVICES OF WEST CENTRAL OHIO LTD
Practice address
801 Pro Dr
Celina, OH 45822-3307
Phone
(419) 227-0918
Fax
(419) 227-0873
NPI assigned
Sep 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Authorized official

Name
Dr. David L Imler, DO
Title
President
Phone
(419) 227-0918

Specialties & licenses 1

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

Addresses

Primary practice location

801 Pro Dr
Celina, OH 45822-3307

Mailing address

750 W High St
Suite 100
Lima, OH 45801-2969
Phone (419) 227-0918

Other names 1

  • Kidney Services of West Central Ohio-Mercer County Doing business as

National Provider Directory

National Provider Directory

Locations

750 W High St
Ste 100
Lima, OH 45801
Phone (419) 223-3391

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1427207604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 W HIGH ST",
            "address_2": "SUITE 100",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458012969",
            "telephone_number": "419-227-0918",
            "fax_number": "419-227-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PRO DR",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458223307",
            "telephone_number": "419-227-0918",
            "fax_number": "419-227-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY SERVICES OF WEST CENTRAL OHIO LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-12",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "IMLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-227-0918",
        "authorized_official_name_prefix": "Dr.",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kidney Services of West Central Ohio-Mercer County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Celina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.