Isd Renal Inc

Primary specialty

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

Legal business name

ISD RENAL INC

Doing business as

Huntsville Metro Dialysis

Practice address

2317 Memorial Pkwy SW Ste 105
Huntsville, AL 35801-5623

Phone

(615) 238-3136

NPI assigned

Feb 26, 2020

Organization subpart

Yes

Parent organization

DAVITA INCAs reported in NPPES

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

Authorized official

Name

John D Winstel

Title

Chief Accounting Officer

Phone

(253) 733-4500

Specialties & licenses 1

Addresses

Other names 1

• Huntsville Metro Dialysis Doing business as

Tax ID family

Renal Care of Marion88 organizations share this tax ID, including this one

Part of

Davita Inc

Organizations with this tax ID in the same state 3

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Isd Renal Inc

  dba Walker County Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Jasper, AL
  • NPI 1295781268
  NPD tax ID
• Isd Renal Inc

  dba Sapphire Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Montgomery, AL
  • NPI 1427970839
  NPD tax ID
• Isd Renal Inc

  dba Montgomery Kidney Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Montgomery, AL
  • NPI 1558283978
  NPD tax ID

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1538793773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-238-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 MEMORIAL PKWY SW STE 105",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015623",
            "telephone_number": "615-238-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISD RENAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVITA INC",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "WINSTEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "253-733-4500"
    },
    "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": "Huntsville Metro Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth S Irby, FNP
• Mia Rodgers Irby, DMD
• John Vernon Irle, MD
• Irma F. de Leon MD PC
• Virginia Isbell, PHARMD
• Amber Isenhower, ALC
• Matthew David Israel, M.D.
• Paul G Israel, MD
• Stephanie Weikard Israel, M.D.
• It's Adonai

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Huntsville, AL
• Providers in Huntsville, AL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.