Defiance Dialysis Center, LTD.

Primary specialty

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

License

0694DC Issued in OH

Legal business name

DEFIANCE DIALYSIS CENTER, LTD.

Doing business as

U.S. Renal Care Defiance Dialysis

Practice address

220 Stadium Dr
Defiance, OH 43512-4609

Phone

(419) 784-2100

Fax

(419) 784-2108

NPI assigned

Jan 27, 2006

Organization subpart

Yes

Parent organization

U.S. RENAL CARE, INC.As reported in NPPES

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

Authorized official

Name

Thomas L. Weinberg

Title

Authorized Official

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• U.S. Renal Care Defiance Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

Usrc Defiance DialysisCCN 362654

Overall star rating

4.0 of 5

Ownership

Profit

Certified

Feb 12, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

12

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

CLIA laboratory certificates

Part of

US Renal Care Inc

Locations

Affiliated clinicians 2

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

• Balhinder Singh Brar, M.D.

  • Nephrology Physician
  • Toledo, OH
  • NPI 1760489025

  Dialysis facility

  Care Compare affiliation Name & address match
• Ramy Anis Fayad, M.D.

  • Nephrology Physician
  • Toledo, OH
  • NPI 1316069412

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1720059892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19119",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724036601",
            "telephone_number": "870-931-5400",
            "fax_number": "870-931-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 STADIUM DR",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435124609",
            "telephone_number": "419-784-2100",
            "fax_number": "419-784-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEFIANCE DIALYSIS CENTER, LTD.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2006-01-27",
        "last_updated": "2013-10-25",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "OH",
            "license": "0694DC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2382523",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care Defiance Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Defiance Al, LLC
• Defiance Chiropractic Center, Inc.
• Defiance City School District
• Defiance County Board of DD
• Defiance County General Health District
• Defiance Healthcare and Rehabilitation Center LLC
• Defiance Hearing Aid Center, Inc.
• Defiance Hospital
• Defiance Hospital Inc
• Defiance Hospital Inc.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Defiance, OH
• Providers in Defiance, OH by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; 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.