Organization Active NPI

Renal Consultant'S, Inc

  • Nephrology Physician
  • Canton, OH
National Provider Identifier
1770525289
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
RENAL CONSULTANT'S, INC
Practice address
2600 Tuscarawas St W
Canton, OH 44708-4644
Phone
(330) 454-9126
Fax
(330) 454-9470
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Authorized official

Name
Arup Maitra, M.D.
Title
President
Phone
(330) 454-9126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X OH Primary

Addresses

Primary practice location

2600 Tuscarawas St W
Canton, OH 44708-4644

Mailing address

2600 Tuscarawas St W
Suite 160
Canton, OH 44708-4644
Phone (330) 454-9126

Other identifiers 2

IdentifierTypeStateIssuer
2185559MedicaidOH
CL2108OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

2600 Tuscarawas St W
Ste 160
Canton, OH 44708
Phone (330) 454-9126

344 Gail Ave NE
#2
Massillon, OH 44646
Phone (330) 454-9126

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1770525289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 TUSCARAWAS ST W",
            "address_2": "SUITE 160",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447084644",
            "telephone_number": "330-454-9126",
            "fax_number": "330-454-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 TUSCARAWAS ST W",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447084644",
            "telephone_number": "330-454-9126",
            "fax_number": "330-454-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL CONSULTANT'S, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "MAITRA",
        "authorized_official_first_name": "ARUP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-454-9126",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2185559",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CL2108",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.