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-Ryan Road Branch

Practice address

9420 S 22ND St
Oak Creek, WI 53154-8242

Phone

(414) 761-8080

Fax

(414) 761-8953

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-Ryan Road Branch Doing business as

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": "1457384117",
    "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": "9420 S 22ND ST",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531548242",
            "telephone_number": "414-761-8080",
            "fax_number": "414-761-8953"
        }
    ],
    "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": "42505900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Dialysis Center-Ryan Road Branch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark A. Meier, M.D.
• Meijer Stores Limited Partnership (Meijer Pharmacy #283)
• Walter Melnyczenko, M.D.
• Kelsey Michaels, PMHNP-BC
• Mary B Michener
• Midwest Orthopedic Specialty Hospital, LLC
• Midwest Orthopedic Specialty Hospital, LLC
• Midwest Urgent Medical Services LLC
• Karen Dawson Mielke, COTA
• Daniel P. Miller, P.T.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Oak Creek, WI
• Providers in Oak Creek, 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.