MEDICARE: EZ DIALYSIS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QE0700X	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	RN.337746	OH

General Provider Information

NPI Number	:	1760704100
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EZ DIALYSIS, LLC

Provider Business Mailing Address
First Line	:	22 ALPHA PARK
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44143-2208
Country	:	US
Telephone Number	:	216-375-6604
Fax Number	:

Provider Business Practice Location Address
First Line	:	22 ALPHA PARK
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44143-2208
Country	:	US
Telephone Number	:	216-375-6604
Fax Number	:

Authorized Official
Title or Position	:	MANAGING DIRECTOR
Name	:	EUGENE PETERMAN
Credential	:	RN
Telephone Number	:	216-375-6604

Provider Enumeration Date	:	02/26/2010
Last Update Date	:	02/26/2010

Similar Medicare Providers

1497064638 — THOMAS W FRAZIER PHD INC
Practice Location Address:

48 ALPHA PARK
HIGHLAND HEIGHTS, OH
44143-2208

Practice Phone: 440-461-4249
Practice Fax: 440-461-4246

1326538794 — LIZZIES HOUSE SENIOR HOME CARE LLC
Practice Location Address:

48 ALPHA PARK
HIGHLAND HTS, OH
44143-2208

Practice Phone: 216-816-4188
Practice Fax: 216-242-6374

1356109904 — ANNIE'S HOUSE HEALTHCARE SERVICES LLC
Practice Location Address:

48 ALPHA PARK
HIGHLAND HTS, OH
44143-2208

Practice Phone: 216-556-3457
Practice Fax:

1548376130 — DR. JUAN ERNESTO BAHAMON M.D.
Practice Location Address:

1 COUNTY ROAD 2208 2
CLEVELAND, TX
77327-2309

Practice Phone: 210-776-4058
Practice Fax:

1710028774 — DR. MYRON BUD STERN PH.D.
Practice Location Address:

50 PUBLIC SQ , TERMINAL TOWER, STE. 852
CLEVELAND, OH
44113-2208

Practice Phone: 216-579-0560
Practice Fax: 216-579-0544

1326241852 — MS. RUTH A CHAZA-NDLOVU CNP
Practice Location Address:

16888 HARVARD AVE
CLEVELAND, OH
44128-2208

Practice Phone: 216-682-7703
Practice Fax: 216-236-7768

Directions to “EZ DIALYSIS, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.