NPIMap

Organization Active NPI

Isd Renal Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Canton, OH
National Provider Identifier
1629596267
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
ISD RENAL INC
Practice address
2912 W Tuscarawas St
Canton, OH 44708-4643
Phone
(330) 458-0150
Fax
(330) 458-0164
NPI assigned
Sep 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
Samuel T. Wey, AO
Title
VP, Licensure & Certification
Phone
(615) 341-6641

Specialties & licenses 1

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

Addresses

Primary practice location

2912 W Tuscarawas St
Canton, OH 44708-4643

Mailing address

5200 Virginia Way
Att: L&C Dept
Brentwood, TN 37027-7569

Other identifiers 1

IdentifierTypeStateIssuer
0277646MedicaidOH

Other names 1

  • Canton Dialysis Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171117001391 OH Part A Provider - End-Stage Renal Disease Facility (ESRD) 6507053790 Practice locations: Canton, OH

Other NPIs with the same Medicare PAC ID 24

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • Isd Renal Inc
    • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
    • Bridgeport, OH
    • NPI 1205396744

    6507053790

    Same PAC ID
  • Isd Renal Inc
    • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
    • Dayton, OH
    • NPI 1336682707

    6507053790

    Same PAC ID
  • Isd Renal, Inc.
    • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
    • Navarre, OH
    • NPI 1134615651

    6507053790

    Same PAC ID
  • Isd Renal Inc
    • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
    • Cookeville, TN
    • NPI 1003390469

    6507053790

    Same PAC ID
  • Isd Renal Inc
    • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
    • Greensboro, GA
    • NPI 1073816914

    6507053790

    Same PAC ID
  • Isd Renal Inc
    • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
    • Philadelphia, PA
    • NPI 1134640949

    6507053790

    Same PAC ID
  • Isd Renal Inc
    • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
    • Indianapolis, IN
    • NPI 1174006662

    6507053790

    Same PAC ID
  • Isd Renal Inc
    • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
    • North Providence, RI
    • NPI 1174579619

    6507053790

    Same PAC ID
  • Isd Renal Inc
    • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
    • Pennsauken, NJ
    • NPI 1194230441

    6507053790

    Same PAC ID
  • Isd Renal Inc
    • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
    • Philadelphia, PA
    • NPI 1235795204

    6507053790

    Same PAC ID
  • Isd Renal Inc
    • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
    • Englewood, NJ
    • NPI 1245891670

    6507053790

    Same PAC ID
  • Isd Renal Inc
    • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
    • Philadelphia, PA
    • NPI 1295344307

    6507053790

    Same PAC ID
View all 24

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
DaVita Canton DialysisCCN 362866
Overall star rating
1.0 of 5
Ownership
Profit
Certified
Mar 27, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Chain
DaVita
Dialysis stations
27

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2133459Canton Dialysis2912 W Tuscarawas St, Canton, OH 44708Certificate of waiverJul 12, 2027

National Provider Directory

National Provider Directory
Tax ID family
Renal Care of Marion88 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 4

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 37

Organizations listed as members of this organization in the National Provider Directory.

View all 37

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1629596267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "ATT: L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2912 W TUSCARAWAS ST",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447084643",
            "telephone_number": "330-458-0150",
            "fax_number": "330-458-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISD RENAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "VP, LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6641",
        "authorized_official_credential": "AO"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0277646",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canton Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.