ISD SUMMIT RENAL CARE LLC NPI 1174579775

NPI Information

  • NPI: 1174579775
  • Provider Name: ISD SUMMIT RENAL CARE LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: WHITE PONDS DIALYSIS
  • CLIA Number: 36D0962639
  • Address: 791 WHITE POND DR
    AKRON, OH
    ZIP 44320
  • Phone: (330) 835-9083

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NPI Details

ISD SUMMIT RENAL CARE LLC is an end-stage renal disease (esrd) treatment clinic center in Akron, OH. ISD SUMMIT RENAL CARE LLC NPI is 1174579775. The provider is registered as an organization entity type.
The provider Is Doing Business As White Ponds Dialysis.

The provider's business location address is:

791 WHITE POND DR
AKRON, OH
ZIP 44320-202
Phone: (330) 835-9083
Fax: (330) 835-9353

The provider's authorized official is Samuel Wey .
The authorized official title is Vp Licensure & Certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 36D0962639 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 8/5/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment0609DCOHIOYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12175122MEDICAIDOHIO

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: 3/30/2025

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