Dialysis Specialists of Delaware

Primary specialty

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

Legal business name

DIALYSIS SPECIALISTS OF DELAWARE

Practice address

28 S Franklin St
Delaware, OH 43015-4304

Phone

(740) 362-9034

Fax

(740) 362-9251

NPI assigned

Jan 11, 2007

Last updated

Dec 2, 2008By 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

Subbarayudu Koppera, M.D.

Title

Medical Director

Phone

(740) 362-9034

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1780734681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 S FRANKLIN ST",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430154304",
            "telephone_number": "740-362-9034",
            "fax_number": "740-362-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 S FRANKLIN ST",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430154304",
            "telephone_number": "740-362-9034",
            "fax_number": "740-362-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS SPECIALISTS OF DELAWARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "KOPPERA",
        "authorized_official_first_name": "SUBBARAYUDU",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "740-362-9034",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicolas Peter Dercoli, O.T.R/L
• Jessica Lynn Derwent, STNA
• Dharti Devani
• John George Deweese Jr.
• Norah Irene Deweese
• Dialysis Specialists of Delaware Inc
• Kathryn Diana
• Diane L Smith Ma, LPCC
• Lorrie R Diaz
• Madalyn Jane Diaz

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Delaware, OH
• Providers in Delaware, OH by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.