Vacherie Dialysis Center, Inc.

Primary specialty

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

License

084 Issued in LA

Legal business name

VACHERIE DIALYSIS CENTER, INC.

Practice address

2504 Hwy. 20
Suite B
Vacherie, LA 70090

Phone

(225) 265-9030

Fax

(225) 265-7070

NPI assigned

Jun 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Murat Hatipoglu

Title

Ceo

Phone

(504) 780-1422

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Listed as

Vacherie DXCCN 192593

Ownership

Profit

Certified

May 24, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

8

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

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Arzu Nazli Hatipoglu, M.D.

  • Nephrology Physician
  • Chalmette, LA
  • NPI 1396748828
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1659309201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4424 CONLIN ST",
            "address_2": "SUITE 2A",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062147",
            "telephone_number": "504-780-1422",
            "fax_number": "504-780-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 HWY. 20",
            "address_2": "SUITE B",
            "city": "VACHERIE",
            "state": "LA",
            "postal_code": "70090",
            "telephone_number": "225-265-9030",
            "fax_number": "225-265-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VACHERIE DIALYSIS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "HATIPOGLU",
        "authorized_official_first_name": "MURAT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-780-1422",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "LA",
            "license": "084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD LA",
            "identifier": "34655",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1681407",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James J Stafford, DDS
• Raja S Talluri, M.D.
• Teche Action Board, Inc.
• Thibodaux Regional Network Development Corporation
• Tomi Toups, M.S., CF-SLP
• Francine Louise Waguespack, NP
• Marcia Waguespack, R N
• Roland S Waguespack Jr., MD
• Shauna D. Williams, FNP-C
• Z Best Transportation LLC

• All providers in Vacherie, LA
• 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 Oct 21, 2010; 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.