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DENNISON RENAL CARE INC. NPI 1912069212


NPI Information

NPI: 1912069212
Provider Name: DENNISON RENAL CARE, INC.
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 36D0885758

Address:
985 W 3RD AVE
COLUMBUS, OH
ZIP 43212
Phone: (614) 291-0022
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DENNISON RENAL CARE, INC. is a nephrology internal medicine in Columbus, OH. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DENNISON RENAL CARE, INC. NPI is 1912069212. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

985 W 3RD AVE
COLUMBUS, OH
ZIP 43212-109
Phone: (614) 291-0022
Fax: (614) 291-6687

The provider's authorized official is Henry Lee Wehrum .
The authorized official title is President, Ceo and has the following contact phone number (614) 291-0022.

The CLIA number assigned to this NPI record is 36D0885758 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/14/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrology34004176WOHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10841763MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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