Chwy Partners, LLC

Primary specialty

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

Legal business name

CHWY PARTNERS, LLC

Practice address

1760 Prairie Ave Ste 102
Cheyenne, WY 82009-4833

Phone

(307) 213-7679

Fax

(307) 222-7888

NPI assigned

Mar 1, 2022

Organization subpart

Yes

Parent organization

U.S. RENAL CARE, INC.As reported in NPPES

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

Authorized official

Name

Thomas L Weinberg

Title

Chairman

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other names 1

• U.S. Renal Care Cheyenne Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Listed as

USRC Cheyenne DialysisCCN 532508

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Oct 3, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

15

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

CLIA laboratory certificates

Part of

US Renal Care Inc

Affiliated clinicians 2

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

• Rubin Chandran, MD

  • Nephrology Physician
  • Hillsboro, OR
  • NPI 1972571024

  Dialysis facility

  Care Compare affiliation Name & address match
• Kumari Usha, MD

  • Nephrology Physician
  • La Crosse, WI
  • NPI 1861443020

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1902552789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251549",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750251500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 PRAIRIE AVE STE 102",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094833",
            "telephone_number": "307-213-7679",
            "fax_number": "307-222-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHWY PARTNERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care Cheyenne Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael A Christoffersen
• Allan Christofferson
• Scott Christofferson
• Jared Christopherson, D.D.S
• Zachary D. Christopherson, D.D.S.
• Ciara Coral LLC
• City Drug
• City Drug
• City Drug Pharmacy
• City of Cheyenne

• All providers in Cheyenne, WY
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.