Premier Renal Care, LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

PREMIER RENAL CARE, LLC

Practice address

421 Portage TRL
Cuyahoga Falls, OH 44221-3227

Phone

(330) 331-4466

Fax

(330) 331-7478

NPI assigned

Jul 16, 2008

Last updated

Mar 21, 2023By 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. Datinder Bir Singh Deo, M.D.NPI 1952422917

Title

President

Phone

(330) 331-4466

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Datinder Bir Singh Deo, MD

  • Nephrology Physician
  • Cuyahoga Falls, OH
  • NPI 1952422917
  Authorized official Same address or phone
• Brandy M Mansfield, CNP

  • Nurse Practitioner
  • Akron, OH
  • NPI 1336495308
  NPD (past)
• Amanda Hope Descalzo, PA-C

  • Medical Physician Assistant
  • Villa Rica, GA
  • NPI 1508110255
  NPD (past)

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1922262260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4486 DEER PATH TRL",
            "city": "RICHFIELD",
            "state": "OH",
            "postal_code": "442869173",
            "telephone_number": "330-331-4466",
            "fax_number": "330-331-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 PORTAGE TRL",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213227",
            "telephone_number": "330-331-4466",
            "fax_number": "330-331-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER RENAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "DEO",
        "authorized_official_first_name": "DATINDER",
        "authorized_official_middle_name": "BIR SINGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-331-4466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Lynne Portis
• Rodney Victor Pozderac, MD
• Praxair Healthcare Services, Inc.
• Precious Life Care LLC
• Premier Renal Care Associates LLC
• Prestige Foot & Ankle Center LLC
• Tina Marie Price, LMT
• Sharon Kay Probert, RN
• Professional Dental Services of Ohio James Turk Inc (Bright Tiger Dental)
• Judith A Protacio, CNP

• Nephrology Physician in Cuyahoga Falls, OH
• Providers in Cuyahoga Falls, OH by specialty
• Nephrology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.