Usrc Tonawanda Inc

Primary specialty

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

Legal business name

USRC TONAWANDA INC

Practice address

3161 Eggert Rd
Tonawanda, NY 14150-7156

Phone

(716) 832-0159

Fax

(716) 832-0353

NPI assigned

Dec 8, 2010

Organization subpart

Yes

Parent organization

US 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

Senior VP/General Counsel

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• US Renal Care Tonawanda Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Listed as

Usrc Tonawanda DialysisCCN 332685

Overall star rating

4.0 of 5

Ownership

Profit

Certified

Nov 1, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

13

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

Practitioners 1

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

• Maria Concepcion V Delcastillo, M.D.

  • Nephrology Physician
  • Amherst, NY
  • NPI 1467572537
  NPD (past)

Affiliated clinicians 4

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

• Maria Concepcion V Delcastillo, M.D.

  • Nephrology Physician
  • Amherst, NY
  • NPI 1467572537

  Dialysis facility

  Care Compare affiliation Name & address match
• Kristin Ann Matteson, D.O.

  • Nephrology Physician
  • Amherst, NY
  • NPI 1063532125

  Dialysis facility

  Care Compare affiliation Name & address match
• Richard Scott Steinacher, D.O.

  • Nephrology Physician
  • Amherst, NY
  • NPI 1629198700

  Dialysis facility

  Care Compare affiliation Name & address match
• Heather Miller Wheat, MD

  • Nephrology Physician
  • Amherst, NY
  • NPI 1972705978

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1740583087",
    "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": "3161 EGGERT RD",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141507156",
            "telephone_number": "716-832-0159",
            "fax_number": "716-832-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC TONAWANDA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "US RENAL CARE, INC.",
        "enumeration_date": "2010-12-08",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SENIOR VP/GENERAL COUNSEL",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "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": "03432419",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "US Renal Care Tonawanda Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Twin City Transit LLC
• Chad P Tyler, D.O.
• Melinda Day Udell, PT, DPT
• Benjamin David Ulrich, DPT
• Kristy Unkrich, PTA
• Usrc West Cheektowaga, LLC
• Marcia R. Valente, CASAC
• Jordan Valley, LMHC
• Leah Vanbourgondien
• Brandy Lynn Vandermark, MS

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Tonawanda, NY
• Providers in Tonawanda, NY by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.