Cleveland Nephrologists, PLLC

Primary specialty

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

Legal business name

CLEVELAND NEPHROLOGISTS, PLLC

Doing business as

Home Dialysis Center

Practice address

1059 SE 82ND
Oklahoma City, OK 73149-2902

Phone

(405) 329-3830

Fax

(405) 329-3791

NPI assigned

Jan 7, 2010

Last updated

Nov 2, 2010By 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. Oswald Llanderosos, MD

Title

Owner/Member

Phone

(405) 329-3830

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Home Dialysis Center Doing business as

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1851621213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1561 N. PORTER AVE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716621",
            "telephone_number": "405-329-3830",
            "fax_number": "405-329-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 SE 82ND",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731492902",
            "telephone_number": "405-329-3830",
            "fax_number": "405-329-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND NEPHROLOGISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-07",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "LLANDEROSOS",
        "authorized_official_first_name": "OSWALD",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "405-329-3830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "37-2579",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ronald D. Clemmons, BHRS
• Sachia Janae Clemmons
• Simone Clemmons
• Danny Clemons
• Laketra Clemons
• Cleveland Nephrology, PLLC (Home Dialysis Center)
• Roxanne Cleveland
• Taylor Clark Cleveland
• Andrea Nicole Clevenger
• Patti Jane Cleves, D.D.S.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.