ST JOHN WEST SHORE DIALYSIS
NPI 1639143449
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Westlake, OH

NPI Status: Active since February 16, 2006

Contact Information

29000 CENTER RIDGE RD
WESTLAKE, OH
ZIP 44145
Phone: (440) 835-8000
Fax: (440) 746-3405

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

About ST JOHN WEST SHORE DIALYSIS

This page provides the complete NPI Profile along with additional information for St John West Shore Dialysis, a provider established in Westlake, Ohio operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1639143449 assigned on February 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 St John West Shore Dialysis. The authorized official of this NPI record is Mr. Allen R Tracy (Senior Vp & Cfo)

NPI
1639143449
Provider Legal Name
UHHS/CSAHS - CUYAHOGA, INC
Other Organization Name
ST JOHN WEST SHORE DIALYSIS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
29000 CENTER RIDGE RD WESTLAKE, OH 44145
Location Phone
(440) 835-8000
Location Fax
(440) 746-3405
Mailing Address
6935 TREELINE DR SUITE J BRECKSVILLE, OH 44141
Mailing Phone
(440) 746-3401
Mailing Fax
(440) 746-3405
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-16-2006
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

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MR. ALLEN R TRACY

Authorized Official Title
SENIOR VP & CFO
Authorized Official Phone
(216) 436-4653

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000000157498OTHER (01)ANTHEM

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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.
1639143449
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
266924648
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 2 + 4 + 6 + 4 + 8 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1639143449 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1255333670DR. ROY E SEITZ MD
Individual
Emergency Medicine29000 CENTER RIDGE RD ST JOHN MEDICAL CENTER
WESTLAKE, OH 44145
(440) 835-8000
1982697116NORTHCOAST ANESTHESIA PROVIDERS
Organization
Anesthesiology (Critical Care Medicine)29000 CENTER RIDGE RD
WESTLAKE, OH 44145
(440) 827-5000
1770576605 MATTHEW R LEVIN AA-C
Individual
Anesthesiologist Assistant29000 CENTER RIDGE RD
WESTLAKE, OH 44145
(440) 827-5000
1104819028 JAY R BLACKMUR AA
Individual
Anesthesiologist Assistant29000 CENTER RIDGE RD
WESTLAKE, OH 44145
(440) 827-5000
1154314094 JEFFREY P SCAVELLI AA-C
Individual
Anesthesiologist Assistant29000 CENTER RIDGE RD
WESTLAKE, OH 44145
(440) 827-5000
1316930258 CHRIS E THOMASCIK AA-C
Individual
Anesthesiologist Assistant29000 CENTER RIDGE RD
WESTLAKE, OH 44145
(440) 827-5000
1407849375 THEODORE K BREWER AA-C
Individual
Anesthesiologist Assistant29000 CENTER RIDGE RD
WESTLAKE, OH 44145
(440) 827-5000
1134112006 ANN MARIE DAVIS CRNA, MSN
Individual
Nurse Anesthetist, Certified Registered29000 CENTER RIDGE RD
WESTLAKE, OH 44145
(440) 827-5000
1942293824 MELVIN J WOODARD III AA-C
Individual
Anesthesiologist Assistant29000 CENTER RIDGE RD
WESTLAKE, OH 44145
(440) 827-5000
1598750705 JEROME NGANGANA MD
Individual
General Practice29000 CENTER RIDGE RD ST JOHN WEST SHORE HOSPITAL
WESTLAKE, OH 44145
(440) 835-8000
1619962693 MIRIAM B MANDEL MD
Individual
Pediatrics29000 CENTER RIDGE RD
WESTLAKE, OH 44145
(440) 835-8000
1932194552 LINDA ANN PATTERSON MD
Individual
Surgery29000 CENTER RIDGE RD ST JOHN WEST SHORE HOSPITAL
WESTLAKE, OH 44145
(440) 835-8000
1518956671MRS. CHERYL A SARA RD LD
Individual
Dietitian, Registered29000 CENTER RIDGE RD NUTRITION SERVICES ST. JOHN WEST SHORE HOSPITAL
WESTLAKE, OH 44145
(440) 827-5588
1710976881 ANN MARIE N SLIFE MS RD LD
Individual
Dietitian, Registered29000 CENTER RIDGE RD SJWS DIETARY SERVICES
WESTLAKE, OH 44145
(440) 827-5157
1598755985 MICHELLE L HANSEN MS RD LD
Individual
Dietitian, Registered29000 CENTER RIDGE RD SJWS DIETARY SERVICES
WESTLAKE, OH 44145
(440) 827-5157
1487637302 FACHTNA CAREY M.D.
Individual
Radiology (Diagnostic Radiology)29000 CENTER RIDGE RD
WESTLAKE, OH 44145
(440) 414-6046
1609859511MILLENNIUM RADIOLOGY ASSOCIATES, LTD
Organization
Radiology (Diagnostic Radiology)29000 CENTER RIDGE RD
WESTLAKE, OH 44145
(440) 414-6046
1205819992DR. PRASADA R. KANDULA M.D.
Individual
Radiology (Diagnostic Radiology)29000 CENTER RIDGE RD
WESTLAKE, OH 44145
(440) 414-6046
1588634562 ADRIAN GEORGE DAN MD
Individual
Surgery29000 CENTER RIDGE RD ST JOHN WEST SHORE HOSPITAL
WESTLAKE, OH 44145
(440) 835-8000
1063482743 SONIA SARACCO M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)29000 CENTER RIDGE RD
WESTLAKE, OH 44145
(440) 835-8000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639143449, enumerated in the NPI registry as an "organization" on February 16, 2006

The provider is located at 29000 Center Ridge Rd Westlake, Oh 44145 and the phone number is (440) 835-8000

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

The provider might be accepting Accepts: Anthem Blue Cross, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 16, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.