Mid-City New Orleans Dialysis Partnership, LLC

Primary specialty

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

License

113 Issued in LA

Legal business name

MID-CITY NEW ORLEANS DIALYSIS PARTNERSHIP, LLC

Practice address

3839 Ulloa St
New Orleans, LA 70119-6950

Phone

(504) 483-7771

Fax

(504) 438-7710

NPI assigned

Mar 18, 2006

Organization subpart

No

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

Authorized official

Name

Thomas O Usilton Jr.

Title

Group Vice President

Phone

(770) 541-7922

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Orleans Metropolitan Dialysis Doing business as

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497714562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "STE 400 L&C",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-320-4218",
            "fax_number": "303-209-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 ULLOA ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196950",
            "telephone_number": "504-483-7771",
            "fax_number": "504-438-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-CITY NEW ORLEANS DIALYSIS PARTNERSHIP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "USILTON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "GROUP VICE PRESIDENT",
        "authorized_official_telephone_number": "770-541-7922",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "LA",
            "license": "113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1465780",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orleans Metropolitan Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Claire Elaine Mickey, MD
• Michael Lee Mickey
• Mid City Counseling, LLC
• Mid City Physical Therapy and Wellness
• Mid City Smiles Family Dentistry
• Mid-South Radiology LLC
• Mid-Town Medical
• Midcity Premier Medical Rehab
• Tiffany Lee Middendorf, LM
• Mandy E. Middlebrook-Lovett, PA

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New Orleans, LA
• Providers in New Orleans, LA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.