Dialysis Access Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

DIALYSIS ACCESS CENTER, LLC

Practice address

8390 Tod Ave Ste 2
Boardman, OH 44512-6366

Phone

(330) 629-2855

Fax

(330) 629-2855

NPI assigned

Jun 25, 2019

Last updated

Jun 13, 2024By 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

Dr. Nathaniel S Doe, MDNPI 1275504094

Title

President

Phone

(330) 746-1488

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

Dialysis Access Center LLCCCN 36C0001329

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hasit P Pandya, MD

  • Nephrology Physician
  • Youngstown, OH
  • NPI 1912954389
  Medicare reassignment NPD
• Sherif A Soliman, M.D.

  • Nephrology Physician
  • Youngstown, OH
  • NPI 1174594915
  Medicare reassignment NPD
• Nathaniel S Doe, M.D.

  • Nephrology Physician
  • Youngstown, OH
  • NPI 1275504094
  NPD Authorized official
• Anup S Bains, M.D.

  • Nephrology Physician
  • Youngstown, OH
  • NPI 1780655589
  NPD
• Michael Carl Koprucki, MD

  • Nephrology Physician
  • Youngstown, OH
  • NPI 1902069115
  NPD
• Kathleen S Padgitt, M.D.

  • Nephrology Physician
  • Youngstown, OH
  • NPI 1093786774
  NPD
• Andrea J Shaer, M.D.

  • Nephrology Physician
  • Youngstown, OH
  • NPI 1518938786
  NPD
• Chester A. Amedia, MD

  • Nephrology Physician
  • Boardman, OH
  • NPI 1952306995
  NPD (past)
• Lani Anderson, NP

  • Family Nurse Practitioner
  • Youngstown, OH
  • NPI 1124853577
  NPD (past)
• Augustine P Biscardi, D.O.

  • Nephrology Physician
  • Youngstown, OH
  • NPI 1417928201
  NPD (past)
• Lauren Carano, NP-C

  • Family Nurse Practitioner
  • Youngstown, OH
  • NPI 1710675392
  NPD (past)
• Lisa J Cascarelli, ACNP-BC

  • Acute Care Nurse Practitioner
  • Youngstown, OH
  • NPI 1588005946
  NPD (past)

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1801457478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 BELMONT AVE STE 2300",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041129",
            "telephone_number": "330-746-1488",
            "fax_number": "330-746-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 TOD AVE STE 2",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126366",
            "telephone_number": "330-629-2855",
            "fax_number": "330-629-2855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8423 Market St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Boardman",
            "state": "OH",
            "postal_code": "445126778",
            "country_code": "US",
            "telephone_number": "330-629-2855",
            "fax_number": "330-629-2859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIALYSIS ACCESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "DOE",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-746-1488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desai G. Krishna-Rao (Boardman Allergy Associates)
• David Paul Desantis, D.C.
• Dianne Marie Despetorich, CPNP-PC
• Thomas Nicholas Detesco, M.D.
• Gregory Scott Dew, D.C., PA-C
• Casey Dickey, PA-C
• Joseph A Didomenico, D.C.
• Lawrence Didomenico, DPM
• Bradford Stephen Diemer, LPCC
• Lynn R. Dimarzio, PHD

• Ambulatory Surgical Clinic/Center in Boardman, OH
• Providers in Boardman, OH by specialty
• Ambulatory Surgical Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.