Renal Treatment Centers Mid Atlantic Inc

Primary specialty

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

Legal business name

RENAL TREATMENT CENTERS MID ATLANTIC INC

Doing business as

Portsmouth Dialysis

Practice address

2000 High St
Portsmouth, VA 23704-3012

Phone

(757) 397-4300

Fax

(757) 397-5788

NPI assigned

Apr 14, 2006

Last updated

Apr 15, 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

John D Winstel

Title

Chief Accounting Officer

Phone

(253) 733-4501

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Portsmouth Dialysis Doing business as

Member of 1

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

• Renal Treatment Centers Mid Atlantic Inc

  dba Grovepark Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Jackson, GA
  • NPI 1558330522

  Member Of

  NPD member

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1760446728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L & C DEPARTMENT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-320-4214",
            "fax_number": "866-944-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 HIGH ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237043012",
            "telephone_number": "757-397-4300",
            "fax_number": "757-397-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL TREATMENT CENTERS MID ATLANTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-14",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "WINSTEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "253-733-4501"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004926200",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portsmouth Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Portsmouth Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reliable Service Care, LLC
• Reliable Service Transportation, LLC
• Stephen Remick, DO
• Renaissance Family Care, LLC
• Renal Treatment Centers Mid Atlantic Inc (Greater Portsmouth)
• Renewed Counseling Group LLC
• Renewed Counseling Group LLC
• Renewed Perspectives Counseling & Consulting, LLC
• Samuel Hunter Renfro, MD
• Robert Lawrence Repetti, DO

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.