Dialysis Services of Gaylord, Inc

Primary specialty

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

Legal business name

DIALYSIS SERVICES OF GAYLORD, INC

Practice address

1989 Walden Dr
Gaylord, MI 49735-8241

Phone

(989) 731-6418

Fax

(989) 731-4776

NPI assigned

Jun 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Scott D Currie

Title

V.P. of Finance

Phone

(989) 466-3272

Specialties & licenses 1

Addresses

Other identifiers 2

Member of 2

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

• Munson Healthcare Otsego Memorial Hospital

  • Physician Assistant
  • Gaylord, MI
  • NPI 1447468442

  Member Of

  NPD member
• Mymichigan Medical Center Alma

  • Obstetrics & Gynecology Physician
  • Mt Pleasant, MI
  • NPI 1558443994

  Member Of

  NPD member

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1760424964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488010548",
            "telephone_number": "989-466-3395",
            "fax_number": "989-466-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1989 WALDEN DR",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497358241",
            "telephone_number": "989-731-6418",
            "fax_number": "989-731-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS SERVICES OF GAYLORD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "CURRIE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "V.P. OF FINANCE",
        "authorized_official_telephone_number": "989-466-3272",
        "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": "BCBSM",
            "identifier": "09485",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "08970",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Gast MDPC
• Eric Deitz
• Dental Smiles of Livonia, PC
• Justin Desloover
• Curtis J. Devries, CRNA
• Jennifer Dickson
• Niki L Diehl, PT
• Kelsey Dipzinski, LLBSW, CADC-DP
• Cheyenne Doan
• Lela Dobrzelewski, LLMSW

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Gaylord, MI
• Providers in Gaylord, MI by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.