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NPI Code Detail

MEDICARE: ADVANCED PERITONEAL DIALYSIS, LLC

MEDICARE: ADVANCED PERITONEAL 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
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center0892DCOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780717520
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED PERITONEAL DIALYSIS, LLC
Provider Business Mailing Address
First Line : 9050 N CHURCH DR
Second Line :
City : PARMA HEIGHTS
State : OH
Zip : 44130-4701
Country : US
Telephone Number : 440-292-0231
Fax Number : 440-292-0234
Provider Business Practice Location Address
First Line : 9050 N CHURCH DR
Second Line :
City : PARMA HEIGHTS
State : OH
Zip : 44130-4701
Country : US
Telephone Number : 440-292-0231
Fax Number : 440-292-0234
Authorized Official
Title or Position : PHYSICIAN
Name : RONALD PATRICK FLAUTO
Credential : D.O.
Telephone Number : 440-292-0231
Provider Enumeration Date : 03/13/2007
Last Update Date : 04/21/2011

Similar Medicare Providers

1235109448 — RONALD PATRICK FLAUTO D.O.
Practice Location Address:
9050 N CHURCH DR
PARMA HEIGHTS, OH
44130-4701
Practice Phone: 440-292-0226
Practice Fax: 440-292-0225
1063629657 — PUSHKAR ASHOK ARGEKAR M.D.
Practice Location Address:
9050 N CHURCH DR
PARMA HEIGHTS, OH
44130-4701
Practice Phone: 440-292-0226
Practice Fax: 440-292-0228
1902102114 — BIRCH DIALYSIS LLC
Practice Location Address:
9050 N CHURCH DR
PARMA HEIGHTS, OH
44130-4701
Practice Phone: 440-842-0895
Practice Fax: 440-292-0234
1386934057 — MRS. SUSAN M DOMBROWSKI RD
Practice Location Address:
9050 N CHURCH DR
PARMA HEIGHTS, OH
44130-4701
Practice Phone: 440-292-0226
Practice Fax:
1841585601 — HEATHER OHLRICH RDLD
Practice Location Address:
9050 N CHURCH DR
PARMA HEIGHTS, OH
44130-4701
Practice Phone: 440-292-0226
Practice Fax:
1871878199 — AMANDA ANN HOOSE C-NP
Practice Location Address:
9050 N CHURCH DR
PARMA HEIGHTS, OH
44130-4701
Practice Phone: 440-292-0226
Practice Fax: 440-292-0228

Directions to “ADVANCED PERITONEAL DIALYSIS, LLC ” Practice Location

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