HERSHEY KIDNEY SPECIALISTS INC (NPI# 1083657118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083657118 |
| Entity Type | Organization |
| Organization Name | HERSHEY KIDNEY SPECIALISTS INC |
| Practice Address |
4700 Union Deposit Rd Suite 240 Harrisburg PA 17111-3774 |
| Mailing Address |
Po Box 517 Hazleton PA 18201-0517 |
| Practice Telephone | 7175264474 |
| Practice Fax Number | 7175264476 |
| Mailing Telephone | 5704506200 |
| Mailing Fax Number | 5704506207 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2009-12-17 |
| Authorized Official Name | DR. JONATHAN R DIAMOND (PRESIDENT) |
| Authorized Official Telephone | 7175264474 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
MD043430E | PA | Allopathic & Osteopathic Physicians |
| Street Address |
4700 UNION DEPOSIT RD SUITE 240 |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17111-3774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396741013 | Yoke Y Tan | Pediatrics | 4700 Union Deposit Rd, Ste 220, Harrisburg, PA 17111-3774 | 2005-06-27 |
| 1932519410 | Alexander Richard Szeles II | Ophthalmology | 4700 Union Deposit Rd, Ste 220, Harrisburg, PA 17111-3774 | 2014-05-05 |
| 1063850782 | Pinnacle Health Medical Services | Nurse Practitioner | 4700 Union Deposit Rd, Suite 120, Harrisburg, PA 17111-3774 | 2013-06-05 |
| 1114290848 | Pinnacle Health Medical Group Inc | Physician Assistant | 4700 Union Deposit Rd, Suite 120, Harrisburg, PA 17111-3774 | 2012-02-10 |
| 1306148580 | Jaimini K Patel | Dietitian, Registered | 4700 Union Deposit Rd, Suite 240 (hershey Kidney Specialists, Inc.), Harrisburg, PA 17111-3774 | 2010-11-22 |
| 1346565090 | Barry A Sherman, Dds | Dentist | 4700 Union Deposit Rd, Suite 210, Harrisburg, PA 17111-3774 | 2010-04-06 |
| 1205167863 | Apex Dental Smiles Corp. | Dentist | 4700 Union Deposit Rd, Suite 210, Harrisburg, PA 17111-3774 | 2010-01-21 |
| 1558515809 | Heritage Medical Group, LLP | Physician Assistant | 4700 Union Deposit Rd, Suite 120, Harrisburg, PA 17111-3774 | 2008-11-13 |
| 1891953592 | Suneetha Vaddineni | Internal Medicine | 4700 Union Deposit Rd, Suite 240, Harrisburg, PA 17111-3774 | 2008-05-29 |
| 1851410633 | Kara Garcia | Pediatrics | 4700 Union Deposit Rd, Ste. 220, Harrisburg, PA 17111-3774 | 2007-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417589011 | Brightwood Adult Day Care LLC | Clinic/Center | 5630 Derry Street, Harrisburg, PA 17111 | 2020-02-11 |
| 1114486008 | Candy Benson | Behavior Technician | 2225 Sycamore St Suite 240, Harrisburg, PA 17111 | 2019-03-19 |
| 1295203206 | Shannon Ingram | Behavior Technician | 2225 Sycamore St Suite 120, Harrisburg, PA 17111 | 2018-11-07 |
| 1255862678 | A Caring Hand Home Health Care LLC | Home Health | 5600 Derry St, Harrisburg, PA 17111 | 2017-03-27 |
| 1073067559 | Migliore Treatment Services LLC | Community/Behavioral Health | 60 S 41st St, Harrisburg, PA 17111 | 2016-08-12 |
| 1013384718 | Alina N Glazunova | Nurse Practitioner | 6010 Pindeale Court, Harrisburg, PA 17111 | 2015-08-28 |
| 1033551494 | Elizabeth Ann Campbell | Behavioral Analyst | 2225 Sycamore Street, Suite 120, Harrisburg, PA 17111 | 2013-07-25 |
| 1427320688 | Joseph J Trautlein | Allergy & Immunology | 6450 Colchester Ave, Harrisburg, PA 17111 | 2012-02-03 |
| 1083983019 | Bonsall Manfredi & Assoc, P.C. | Psychiatry & Neurology | 2600 Woodlawn Street, Harrisburg, PA 17111 | 2011-12-20 |
| 1083920045 | Mh Medical LLC | Durable Medical Equipment & Medical Supplies | 7412 Derry Street, Harrisburg, PA 17111 | 2010-08-27 |
| Find all providers in zip 17111 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437790482 | Pinnacle Health Medical Services | Internal Medicine | 205 S Front St Fl 8, Harrisburg, PA 17104-1619 | 2019-10-01 |
| 1437304557 | Pinnacle Health Medical Services | Internal Medicine | 2501 N 3rd St, Harrisburg, PA 17110-1904 | 2008-11-18 |
| 1144474347 | Pinnacle Health Medical Services | Internal Medicine | 2501 N 3rd St, Harrisburg, PA 17110-1904 | 2008-11-14 |
| 1629238993 | Manpreet Singh | Internal Medicine | 205 South Front Street, 8th Floor Bma, Harrisburg, PA 17104-1619 | 2008-06-11 |
| 1891953592 | Suneetha Vaddineni | Internal Medicine | 4700 Union Deposit Rd, Suite 240, Harrisburg, PA 17111-3774 | 2008-05-29 |
| 1194792531 | Oleh Pankewycz | Internal Medicine | 205 S Front St, 8th Floor Bma, Harrisburg, PA 17104-1619 | 2006-03-03 |
| 1578539433 | Jonathan R Diamond | Internal Medicine | 4700 Union Deposit Rd, Suite 240, Harrisburg, PA 17111-3774 | 2006-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376156752 | Syed Ali Aown | Internal Medicine | 1200 Cedar Crest Blvd Department of Education-office Of, Allentown, PA 18103 | 2020-08-26 |
| 1255983615 | Mujahed Maher Dauleh | Internal Medicine | 500 University Dr # H040, Hershey, PA 17033-2360 | 2019-07-15 |
| 1578124038 | Ali Arif | Internal Medicine | 245 N 15th St Ste 6144, Philadelphia, PA 19102-1101 | 2019-06-25 |
| 1245893270 | Nikita Igorevich Neverov | Internal Medicine | 501 Howard Ave Ste D204, Altoona, PA 16601-4814 | 2019-04-16 |
| 1831682707 | Aravind Cherukuri | Internal Medicine | 3550 Terrace Street A919 Scafie Hall, Pittsburgh, PA 15261-0001 | 2018-06-14 |
| 1144731100 | Muhammad Owais Hanif | Internal Medicine | 245 N. 15th St, Ms 437, 6th Floor Ncb, Philadelpha, PA 19102 | 2017-10-18 |
| 1285157917 | Mhd Said Al Zein | Internal Medicine | 1001 E 2nd St Ste E, Coudersport, PA 16915-8161 | 2017-07-25 |
| 1073068284 | Awais Ammar | Internal Medicine | 415 Limekiln Dr Unit A, Chambersburg, PA 17201-4510 | 2016-08-17 |
| 1710344171 | Nina Stuccio | Internal Medicine | 410 S Front St Unit 215, Philadelphia, PA 19147-1708 | 2016-01-15 |
| 1073908695 | George Ezeji | Internal Medicine | 890 Poplar Church Rd Ste 204b, Camp Hill, PA 17011-2250 | 2015-03-31 |
| Find all providers with the same taxonomy | ||||
| City | HARRISBURG |
| Zip Code | 17111 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.