Dialysis Partners of Northwest Ohio, LLC

Primary specialty

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

Legal business name

DIALYSIS PARTNERS OF NORTHWEST OHIO, LLC

Doing business as

Dialysis Partners of Northwest Ohio

Practice address

3401 Glendale Ave
Suite 110
Toledo, OH 43614-2418

Phone

(419) 389-9681

Fax

(419) 389-9196

NPI assigned

Jul 7, 2006

Last updated

May 27, 2011By 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

Mr. David F Shepherd

Title

Vice President

Phone

(248) 642-5038

Specialties & licenses 1

Addresses

Other identifiers 9

Other names 1

• Dialysis Partners of Northwest Ohio Doing business as

Member of 2

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

• University of Toledo Physicians LLC

  • Anesthesiology Physician
  • Toledo, OH
  • NPI 1669005534

  Member Of

  NPD member
• Henry Ford Health System

  • Clinical Pathology/Laboratory Medicine Physician
  • Detroit, MI
  • NPI 1336223635

  Member Of

  NPD member

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306454400000",
    "number": "1740213677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30100 TELEGRAPH RD",
            "address_2": "SUITE 200",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254516",
            "telephone_number": "248-723-0224",
            "fax_number": "248-642-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 GLENDALE AVE",
            "address_2": "SUITE 110",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142418",
            "telephone_number": "419-389-9681",
            "fax_number": "419-389-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS PARTNERS OF NORTHWEST OHIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2011-05-27",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "248-642-5038",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY HEALTH PLAN",
            "identifier": "707595",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STERLING OPTIONS",
            "identifier": "362509",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4520152",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2168701",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "6800612",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE COMM HEALTH",
            "identifier": "707595",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC",
            "identifier": "000000327208",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "03315",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MICHIGAN",
            "identifier": "000000327208",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dialysis Partners of Northwest Ohio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emmanuel W Diakonis
• Rodney Dial
• Dialectic Psychological Services, LLC
• Dialysis Centers of Northwest Ohio, LTD. (U.S. Renal Care Wildwood Dialysis)
• Dialysis Centers of Northwest Ohio, LTD. (U.S. Renal Care Alexis Dialysis)
• Diane Scott Duty PHD PCC LLC
• Amor M Dias, LPN
• Gloria Diaz
• Nichole Diaz
• Daniel J Dibardino, M.D.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Toledo, OH
• Providers in Toledo, 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 May 27, 2011; 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.