Physicians Choice Dialysis of Gadsden LLC

Primary specialty

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

Legal business name

PHYSICIANS CHOICE DIALYSIS OF GADSDEN LLC

Practice address

800 Goodyear Avenue
Gadsden, AL 35903

Phone

(610) 495-8900

Fax

(610) 495-8560

NPI assigned

Jun 6, 2011

Last updated

Feb 6, 2015By 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

Kelly Smith

Title

Director of Legal

Phone

(610) 495-8900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Phychoice of Gadsden Other name

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1881988004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 COMMERCE CT",
            "address_2": "SUITE 104",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643483",
            "telephone_number": "610-495-8900",
            "fax_number": "610-495-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GOODYEAR AVENUE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "35903",
            "telephone_number": "610-495-8900",
            "fax_number": "610-495-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS CHOICE DIALYSIS OF GADSDEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-06",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "DIRECTOR OF LEGAL",
        "authorized_official_telephone_number": "610-495-8900"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134462",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phychoice of Gadsden",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lynden Phillips, PHARMD
• Tim A Phillips, PHD, ALA, ED.S, MS
• Phoenix Medical, LLC
• Physical Therapy Services Unlimited,LLC
• Physicians Care of Gadsden LLC
• Alexis Montana Pierce
• Jamie Pierce
• Cindy Celise Pike, CRNP
• Catherine Pileggi, DC
• Cathy S Pinkston, RPH

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Gadsden, AL
• Providers in Gadsden, AL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.