Storrie Dialysis LLC

Primary specialty

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

License

0465DC Issued in OH

Legal business name

STORRIE DIALYSIS LLC

Practice address

2200 N Limestone St
Ste 104
Springfield, OH 45503-2692

Phone

(937) 390-3125

Fax

(937) 390-6022

NPI assigned

Apr 15, 2010

Organization subpart

No

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

Authorized official

Name

Samuel Wey

Title

VP, Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Midwest Springfield Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

DaVita Midwest Springfield DialysisCCN 362592

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Mar 27, 1998

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

21

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

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

• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Burlington, WA
  • NPI 1932595584

  Member Of

  NPD member

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Adeleye A. Edon, DO

  • Nephrology Physician
  • London, OH
  • NPI 1306105804

  Dialysis facility

  Care Compare affiliation Name & address match
• Pius Kurian, MD

  • Nephrology Physician
  • Springfield, OH
  • NPI 1174516652

  Dialysis facility

  Care Compare affiliation Name & address match
• M. Ahsan Ullah, M.D.

  • Nephrology Physician
  • Springfield, OH
  • NPI 1275538480

  Dialysis facility

  Care Compare affiliation Name & address match
• Sanju Andrew Varghese, MD

  • Nephrology Physician
  • Springfield, OH
  • NPI 1780629956

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1790001709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N LIMESTONE ST",
            "address_2": "STE 104",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032692",
            "telephone_number": "937-390-3125",
            "fax_number": "937-390-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STORRIE DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-15",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "VP, LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6641"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "OH",
            "license": "0465DC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3071054",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Springfield Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Midwest Springfield Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shellie Stolfo
• Anitsa Andrea Stone
• John Stoner
• John Andrew Stoner, MDIV DMIN LMFT LMHC
• Scott Alan Storck, M.D.
• Marla Stouffer
• Sarah Megan Stradling, LPN
• Kourtney Stranzin
• Rasheedah Stream
• Hope Strickland, LPN

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Springfield, OH
• Providers in Springfield, 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 Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.