Organization Active NPI

Ez Dialysis, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Cleveland, OH
National Provider Identifier
1760704100
Registry record updated Feb 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
RN.337746 Issued in OH
Legal business name
EZ DIALYSIS, LLC
Practice address
22 Alpha Park
Cleveland, OH 44143-2208
Phone
(216) 375-6604
NPI assigned
Feb 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2010

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

Authorized official

Name
Eugene Peterman, RN
Title
Managing Director
Phone
(216) 375-6604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X RN.337746 OH Primary

Addresses

Primary practice location

22 Alpha Park
Cleveland, OH 44143-2208

Mailing address

22 Alpha Park
Cleveland, OH 44143-2208
Phone (216) 375-6604

National Provider Directory

National Provider Directory

Locations

22 Alpha Park
Cleveland, OH 44143
Phone (216) 375-6604

NPI Registry JSON

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267142400000",
    "number": "1760704100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 ALPHA PARK",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441432208",
            "telephone_number": "216-375-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ALPHA PARK",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441432208",
            "telephone_number": "216-375-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZ DIALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-26",
        "last_updated": "2010-02-26",
        "status": "A",
        "authorized_official_last_name": "PETERMAN",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "216-375-6604",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "OH",
            "license": "RN.337746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; 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.