Physicians Dialysis Company, Inc.

Primary specialty

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

Legal business name

PHYSICIANS DIALYSIS COMPANY, INC.

Doing business as

Physicians Dialysis Center - North Lima

Practice address

9174 Market Street
North Lima, OH 44452

Phone

(330) 729-9061

NPI assigned

Aug 22, 2006

Last updated

Dec 17, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Mark Fawcett

Title

Treasurer

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other names 1

• Physicians Dialysis Center - North Lima Doing business as

Locations

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1841306776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9174 MARKET STREET",
            "city": "NORTH LIMA",
            "state": "OH",
            "postal_code": "44452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9174 MARKET STREET",
            "city": "NORTH LIMA",
            "state": "OH",
            "postal_code": "44452",
            "telephone_number": "330-729-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS DIALYSIS COMPANY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2006-08-22",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians Dialysis Center - North Lima",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Lima Senior Living, LLC (Glenellen)
• Christine Elizabeth Nyako, CRNP
• Christina Perkins
• Wardah Pervez
• Frank Petrakos, DDS
• Prima Health Care LLC
• Elizabeth Rapp
• Jenifer Lynn Razo, LPN
• Brady Dwayne Reece, RN
• Tawnya Dianne Reents, NP

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in North Lima, OH
• Providers in North Lima, 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 17, 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.