Physicians Dialysis Company, Inc.

Primary specialty

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

Legal business name

PHYSICIANS DIALYSIS COMPANY, INC.

Practice address

2100 Millennium Blvd
Cortland, OH 44410-9173

Phone

(330) 372-4030

Fax

(330) 372-2565

NPI assigned

Aug 20, 2006

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Mr. Mark R Fawcett

Title

Treasurer

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other names 1

• RENAL CARE GROUP WARREN Doing business as

Locations

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1487769238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MILLENNIUM BLVD",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444109173",
            "telephone_number": "330-372-4030",
            "fax_number": "330-372-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MILLENNIUM BLVD",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444109173",
            "telephone_number": "330-372-4030",
            "fax_number": "330-372-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS DIALYSIS COMPANY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2006-08-20",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "781-699-9000",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "RENAL CARE GROUP WARREN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rachel Elizabeth Poullas, APRN-CNP
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• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Cortland, OH
• Providers in Cortland, OH by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.