Purity Dialysis Centers, Inc

Primary specialty

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

Legal business name

PURITY DIALYSIS CENTERS, INC

Doing business as

Waukesha South Dialysis Center

Practice address

1260 Sentry Dr
Waukesha, WI 53186-5930

Phone

(262) 446-5100

Fax

(262) 446-5199

NPI assigned

Oct 27, 2006

Last updated

May 12, 2010By 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

Ms. Tina M Waldron

Title

Billing Supervisor

Phone

(262) 646-6426

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Waukesha South Dialysis Center Doing business as

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1487730032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 SUN VALLEY DR STE 200",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530182318",
            "telephone_number": "262-646-4162",
            "fax_number": "262-646-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 SENTRY DR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531865930",
            "telephone_number": "262-446-5100",
            "fax_number": "262-446-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURITY DIALYSIS CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "WALDRON",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "262-646-6426",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBDC CLIA #",
            "identifier": "52D0988781",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42056700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waukesha South Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen Pugh, NP
• Elisa Puls, RDH
• Laura Lynn Pulsifer, LCSW
• Melisa Purdy-Unger
• Pure Chiropractic and Wellness
• Purity Dialysis Centers, Inc (Waukesha Dialysis Center)
• Sarah E Purnell-Smith, MSW
• Robert Purtock, M.D.
• Roman T Pyasta, MD
• QLS.LLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Waukesha, WI
• Providers in Waukesha, 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 May 12, 2010; 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.