WHITE PONDS DIALYSIS – NPI #1174579775
Clinic/Center

WHITE PONDS DIALYSIS is an AHC clinic located in AKRON, OH. NPPES has assigned the NPI number 1174579775 to WHITE PONDS DIALYSIS on May 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WHITE PONDS DIALYSIS” is a dba name, the actual legal business name for this organization is ISD SUMMIT RENAL CARE LLC. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was last updated on Aug 05, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WHITE PONDS DIALYSIS below.

NPI Profile for
ISD SUMMIT RENAL CARE LLC

NPI Number
1174579775
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ISD SUMMIT RENAL CARE LLC
Doing Business As (dba): WHITE PONDS DIALYSIS
Primary location
791 WHITE POND DR
AKRON, OH 44320-4202
Phone: (330) 835-9083 Fax: (330) 835-9353
Mailing address
5200 VIRGINIA WAY
ATT: L&C DEPT
BRENTWOOD, TN 37027-7569
Phone: Fax:
Organization Subpart
No
Authorized Official
SAMUEL WEY
VP LICENSURE & CERTIFICATION
Phone: (615) 341-6641
Updated
Certification Date
Aug 05, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for WHITE PONDS DIALYSIS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidOH2175122
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)
OH 0609DC

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.