Usrc South Aiken LLC

Primary specialty

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

Legal business name

USRC SOUTH AIKEN LLC

Practice address

169 Crepe Myrtle Dr
Aiken, SC 29803-7576

Phone

(803) 644-8484

NPI assigned

Aug 17, 2017

Organization subpart

Yes

Parent organization

US RENAL CARE INCAs reported in NPPES

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

Authorized official

Name

Thomas L Weinberg

Title

Chairman

Phone

(214) 736-2730

Specialties & licenses 1

Addresses

Other names 1

• US Renal Care South Aiken Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Listed as

USRC South Aiken DialysisCCN 422604

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Apr 12, 2006

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

18

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

US Renal Care Inc

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Douglas A Stahura, D.O.

  • Nephrology Physician
  • Aiken, SC
  • NPI 1467416487

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502928000000",
    "number": "1497271704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251549",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750251500",
            "telephone_number": "214-736-2700",
            "fax_number": "214-736-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 CREPE MYRTLE DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037576",
            "telephone_number": "803-644-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC SOUTH AIKEN LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "US RENAL CARE INC",
        "enumeration_date": "2017-08-17",
        "last_updated": "2017-08-17",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "214-736-2730"
    },
    "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": "US Renal Care South Aiken Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• University of South Carolina Aiken
• University Primary Care Aiken, LLC
• Kendra Upson Williams, CACP
• David Edward Urbanawiz, DMD
• Usrc North Aiken, LLC
• Elizabeth Brooke Usry, DMD
• Janet L Utz, MD
• Ekin Can Uzunoglu, MD
• Vageo Inc
• Cassondra Vahling, PA

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Aiken, SC
• Providers in Aiken, SC by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.