American Dialysis Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

372535 Issued in OK

Legal business name

AMERICAN DIALYSIS INC

Practice address

1819 W Gore Blvd
Lawton, OK 73501-3614

Phone

(580) 353-5522

Fax

(580) 248-3042

NPI assigned

Jan 5, 2007

Last updated

Aug 22, 2020By 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

Mrs. Nwando H Ikedionwu, B. ACCOUNTING

Title

Administrator

Phone

(580) 353-5522

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750438032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013614",
            "telephone_number": "580-353-5522",
            "fax_number": "580-248-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013614",
            "telephone_number": "580-353-5522",
            "fax_number": "580-248-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN DIALYSIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IKEDIONWU",
        "authorized_official_first_name": "NWANDO",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "580-353-5522",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B. ACCOUNTING"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OK",
            "license": "372535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Alonzo
• Taylor Alston, LCSW
• Shad M Altman, OT
• Susmitha Aluri, MD
• Ada Amaro
• Michelle Amerson
• Amity Counseling, LLC
• Ama Amofah, D.O.
• Anadarko Dialysis Inc.
• Alania Anderson

• Specialist in Lawton, OK
• Providers in Lawton, OK by specialty
• Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.