Isd Renal INC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Canton, OH. Organization (NPI-2).
Details
- NPI
- 1629596267
- Entity type
- Organization (NPI-2)
- Legal business name
- Isd Renal INC
- Organization subpart
- No
- Enumeration date
- Sep 5, 2017
- Certification date
- Aug 5, 2026
- Last updated
- Aug 5, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART A PROVIDER - END-STAGE RENAL DISEASE FACILITY (ESRD)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | – | Yes |
Other names
- Canton Dialysis (Doing Business As)
Practice location
2912 W Tuscarawas StCanton, OH 44708-4643
Phone 330-458-0150 · Fax 330-458-0164
Mailing address
5200 Virginia WayAtt: L&C Dept
Brentwood, TN 37027-7569
Authorized official
Samuel T. Wey
Vp, Licensure & Certification
6153416641
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 9 End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in Canton · All 7,232 providers in Canton
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