DAVITA PERITONEAL DIALYSIS PROGRAM-WATERTOWN
NPI 1366538514
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Watertown, SD

NPI Status: Active since October 05, 2006

Contact Information

506 1ST AVE SE
WATERTOWN, SD
ZIP 57201
Phone: (615) 320-4435

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment

About DAVITA PERITONEAL DIALYSIS PROGRAM-WATERTOWN

This page provides the complete NPI Profile along with additional information for Davita Peritoneal Dialysis Program-watertown, a provider established in Watertown, South Dakota operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1366538514 assigned on October 2006. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Davita Peritoneal Dialysis Program-watertown. The authorized official of this NPI record is Thomas O Usilton Jr. (Sr Vice President)

NPI
1366538514
Provider Legal Name
TOTAL RENAL CARE, INC.
Other Organization Name
DAVITA PERITONEAL DIALYSIS PROGRAM-WATERTOWN
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
506 1ST AVE SE WATERTOWN, SD 57201
Location Phone
(615) 320-4435
Mailing Address
5200 VIRGINIA WAY STE 400 L&C BRENTWOOD, TN 37027
Mailing Phone
(770) 541-7922
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-05-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

THOMAS O USILTON JR.

Authorized Official Title
SR VICE PRESIDENT
Authorized Official Phone
(770) 541-7922

Reviews for DAVITA PERITONEAL DIALYSIS PROGRAM-WATERTOWN

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1366538514
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231261031652
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 1 + 0 + 3 + 1 + 6 + 5 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1366538514 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053377556DR. THOMAS R LECHNER MD
Individual
Family Medicine506 1ST AVE SE
WATERTOWN, SD 57201
(605) 886-8482
1063479517 EDWIN S. GERRISH MD
Individual
Surgery506 1ST AVE SE
WATERTOWN, SD 57201
(605) 886-8482
1760449284 CLARK W. LIKNESS MD
Individual
Family Medicine506 1ST AVE SE
WATERTOWN, SD 57201
(605) 886-8482
1770541807 CATHERINE C GERRISH MD
Individual
Internal Medicine506 1ST AVE SE
WATERTOWN, SD 57201
(605) 886-8482
1144288564 JOHN SCHWARTZ MD
Individual
Radiology (Diagnostic Radiology)506 1ST AVE SE
WATERTOWN, SD 57201
(605) 884-4212
1588800924 ERIN KAY WEBER PA-C
Individual
Physician Assistant506 1ST AVE SE
WATERTOWN, SD 57201
(605) 886-8482
1831403310 RHONDA J DUNCAN CNP
Individual
Nurse Practitioner (Family)506 1ST AVE SE
WATERTOWN, SD 57201
(605) 886-8482
1306147921NRS ARIZONA, PA
Organization
Radiology (Diagnostic Radiology)506 1ST AVE SE
WATERTOWN, SD 57201
(605) 886-8482
1972883486 SALENA LUNDQUIST FNP-BC
Individual
Nurse Practitioner (Family)506 1ST AVE SE
WATERTOWN, SD 57201
(605) 886-8482
1710923594 JOYCE L LARSON PA-C
Individual
Physician Assistant (Medical)506 1ST AVE SE
WATERTOWN, SD 57201
(605) 886-8482
1942775713MS. REBEKAH RUTH STORM CNP
Individual
Nurse Practitioner (Family)506 1ST AVE SE
WATERTOWN, SD 57201
(605) 886-8482
1184192650 KRISTINA R BOETEL CNP
Individual
Nurse Practitioner506 1ST AVE SE
WATERTOWN, SD 57201
(605) 886-8482
1376645168 TERRI L GROVES PA-C
Individual
Physician Assistant (Medical)506 1ST AVE SE
WATERTOWN, SD 57201
(605) 886-8482
1538464003 STEFANIE E ROBY PA-C
Individual
Physician Assistant506 1ST AVE SE
WATERTOWN, SD 57201
(605) 886-8482
1144417072ABLE II PROSTHETICS AND ORTHOTICS
Organization
Specialist (Prosthetics Case Management)506 1ST AVE SE
WATERTOWN, SD 57201
(605) 882-0432
1114985132 DAVID T. CARLSON MD
Individual
Family Medicine506 1ST AVE SE
WATERTOWN, SD 57201
(605) 886-8482
1316173149 KELSEY A RAML LN RD
Individual
Dietitian, Registered506 1ST AVE SE
WATERTOWN, SD 57201
(605) 886-8482
1831709369 HEIDI MAURINE BARBER CNP
Individual
Nurse Practitioner506 1ST AVE SE
WATERTOWN, SD 57201
(605) 886-8482
1336617604 JENNIFER D GUEST MS, LPC
Individual
Counselor (Professional)506 1ST AVE SE
WATERTOWN, SD 57201
(605) 886-8482

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366538514, enumerated in the NPI registry as an "organization" on October 05, 2006

The provider is located at 506 1st Ave Se Watertown, Sd 57201 and the phone number is (615) 320-4435

This medical organization specializes in Clinic/Center with taxonomy code 261QE0700X with a focus in End-Stage Renal Disease (ESRD) Treatment

This NPI record was last updated on October 05, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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