Community/Physicians Dialysis Center, Limited

Primary specialty

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

License

0465DC Issued in OH

Legal business name

COMMUNITY/PHYSICIANS DIALYSIS CENTER, LIMITED

Practice address

2200 N Limestone St
Suite 104
Springfield, OH 45503-2665

Phone

(937) 930-3125

Fax

(937) 390-6022

NPI assigned

May 26, 2006

Last updated

Mar 5, 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

Mr. Jeffrey S Spiers, RN, CNN

Title

Administrator

Phone

(937) 328-8933

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CPDC Other name

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267747200000",
    "number": "1952357428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 S BURNETT RD",
            "address_2": "SUITE 110",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455052639",
            "telephone_number": "937-328-8921",
            "fax_number": "937-525-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N LIMESTONE ST",
            "address_2": "SUITE 104",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032665",
            "telephone_number": "937-930-3125",
            "fax_number": "937-390-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY/PHYSICIANS DIALYSIS CENTER, LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2010-03-05",
        "status": "A",
        "authorized_official_last_name": "SPIERS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "937-328-8933",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN, CNN"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "OH",
            "license": "0465DC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2073643",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CPDC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Springfield, OH
• Providers in Springfield, 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 Mar 5, 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.