Gaines Renal Group

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

GAINES RENAL GROUP

Practice address

30505 Bainbridge Rd Ste 204
Solon, OH 44139-2287

Phone

(440) 569-1153

Fax

(440) 569-1553

NPI assigned

Jul 9, 2022

Last updated

Oct 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sean C Gaines, DONPI 1609217934

Title

Owner

Phone

(216) 816-5351

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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.

• Sean Gaines, DO

  • Nephrology Physician
  • Solon, OH
  • NPI 1609217934
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1657324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1710610449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30505 BAINBRIDGE RD STE 204",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392287",
            "telephone_number": "440-569-1153",
            "fax_number": "440-569-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30505 BAINBRIDGE RD STE 204",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392287",
            "telephone_number": "440-569-1153",
            "fax_number": "440-569-1553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27155 Chardon Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond Heights",
            "state": "OH",
            "postal_code": "441431183",
            "country_code": "US",
            "telephone_number": "440-569-1153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GAINES RENAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-09",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "GAINES",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-816-5351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frontline EMS Transport LLC
• Jack McBryde Fuller
• Ian D Funnell, M.D.
• Raven Symone Furr
• Morgan Futchi
• Sean Gaines, DO
• Tenisha Gaines
• David J Gale, OD
• Darina Gantman
• Karen Ann Gapinski, MSN RN CNS RN APN C

• Nephrology Physician in Solon, OH
• Providers in Solon, OH by specialty
• Nephrology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.