Organization Active NPI

Synergy Dialysis Associates, LLC

Doing business as Jackson Dialysis and Kidney Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Jackson, OH
National Provider Identifier
1548489149
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
SYNERGY DIALYSIS ASSOCIATES, LLC
Doing business as
Jackson Dialysis and Kidney Center
Practice address
500 McCarty LN
Jackson, OH 45640
Phone
(740) 286-1600
Fax
(740) 286-1615
NPI assigned
Apr 24, 2007
Last updated
Aug 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Authorized official

Name
Mr. Manish Jain
Title
Business Manager
Phone
(606) 836-0202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X NU Primary

Addresses

Primary practice location

500 McCarty LN
Jackson, OH 45640

Mailing address

122 Saint Christopher Dr
Ashland, KY 41101-7016
Phone (606) 836-0202

Other names 1

  • Jackson Dialysis and Kidney Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1548489149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 SAINT CHRISTOPHER DR",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017016",
            "telephone_number": "606-836-0202",
            "fax_number": "606-836-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MCCARTY LN",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "45640",
            "telephone_number": "740-286-1600",
            "fax_number": "740-286-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY DIALYSIS ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "MANISH",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "606-836-0202",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson Dialysis and Kidney Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.