Usrc Stephenville LLC

Primary specialty

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

Legal business name

USRC STEPHENVILLE LLC

Practice address

946 Bluebonnet Dr
Stephenville, TX 76401-1764

Phone

(254) 488-5003

Fax

(254) 488-4876

NPI assigned

Sep 23, 2020

Organization subpart

Yes

Parent organization

US 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) 736-2730

Specialties & licenses 1

Addresses

Other names 1

• Premier Dialysis - Stephenville Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

USRC Premier StephenvilleCCN 742576

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Mar 8, 2021

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Dallas Renal Group PA

  • Nephrology Physician
  • Dallas, TX
  • NPI 1629186168

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary O'Kief Dittrich, MD

  • Nephrology Physician
  • Meridian, ID
  • NPI 1437194552
  NPD (past)

Affiliated clinicians 3

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

• Joshua Daniel Martinez, DO

  • Nephrology Physician
  • Galveston, TX
  • NPI 1871090696

  Dialysis facility

  Care Compare affiliation Name & address match
• Rebecca Rojas, M.D.

  • Nephrology Physician
  • Dallas, TX
  • NPI 1356562086

  Dialysis facility

  Care Compare affiliation Name & address match
• Taryn J Turner, D.O.

  • Nephrology Physician
  • Dallas, TX
  • NPI 1184724122

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1982210050",
    "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",
            "telephone_number": "214-736-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 BLUEBONNET DR",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764011764",
            "telephone_number": "254-488-5003",
            "fax_number": "254-488-4876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC STEPHENVILLE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "US RENAL CARE INC.",
        "enumeration_date": "2020-09-23",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "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": "214-736-2730"
    },
    "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": "Premier Dialysis - Stephenville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Traver
• Brittney Leann Tully, PT
• Turning Point Rehabilitation and Social Services
• Turning Point Rehabilitation and Social Services LLC
• Anna Uppal
• Kevin Marinus Vanden Berge, MD
• Allyson Vanderzyden
• Kori Vargas, OTR
• VB Orthopaedics PA
• Kelley Camille Verpooten, LCDC, CART, CCJP

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Stephenville, TX
• Providers in Stephenville, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.