LIBERTY DIALYSIS - WASHINGTON LLC (NPI# 1144262692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144262692 |
| Entity Type | Organization |
| Organization Name | LIBERTY DIALYSIS - WASHINGTON LLC |
| Practice Address |
90 W Chestnut St Washington PA 15301-4524 |
| Mailing Address |
7650 Se 27th St Ste 200 Mercer Island WA 98040-3060 |
| Practice Telephone | 7242287398 |
| Practice Fax Number | 7242287563 |
| Mailing Telephone | 2062365001 |
| Mailing Fax Number | 2062365002 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2011-01-07 |
| Authorized Official Name | MR. RYAN B PARDO (VICE PRESIDENT) |
| Authorized Official Telephone | 2062365001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNISON MEDPLUS | 170667 | 01 | |
| HIGHMARK SECURITY MCR | 392716 | 01 | |
| HIGHMARK BCBS - PPO | 392716 | 01 | |
| UPMC FOR LIFE MCR | 23281 | 01 | |
| PA | 1013889070001 | 05 |
| Street Address |
90 W CHESTNUT ST |
| City | WASHINGTON |
| State | PA |
| Zip Code | 15301-4524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881665198 | Brenda S Cole | Psychologist | 90 W Chestnut St, Suite 609, Washington, PA 15301-4524 | 2006-01-27 |
| 1801431374 | Lan Thanh Diep Griffith | Counselor | 90 W Chestnut St, Washington, PA 15301-4524 | 2019-11-08 |
| 1730549098 | Forward Focus, PC | General Practice | 90 W Chestnut St, Suite 400, Washington, PA 15301-4524 | 2016-03-01 |
| 1811393358 | Theresa Cypher | Counselor | 90 W Chestnut St, Ste.510, Washington, PA 15301-4524 | 2014-11-11 |
| 1407105695 | William Daniel Trusnovic Jr. | General Practice | 90 W Chestnut St, Suite 400, Washington, PA 15301-4524 | 2012-09-04 |
| 1720385610 | Hilary Falo | Nurse Practitioner | 90 W Chestnut St, Suite 400, Washington, PA 15301-4524 | 2011-02-11 |
| 1184948804 | Lisbeth Eleanor Mihok | Counselor | 90 W Chestnut St, Ste. 900, Washington, PA 15301-4524 | 2010-03-24 |
| 1518116508 | Stacey Lynn Antonucci | Nurse Practitioner | 90 W Chestnut St, Washington, PA 15301-4524 | 2008-09-15 |
| 1669656088 | Associates In Oral and Maxillofacial Surgery | Dentist | 90 W Chestnut St, Suite #125 Ll, Washington, PA 15301-4524 | 2007-12-20 |
| 1386794451 | Washington Drug and Alcohol Commission Inc | Case Management | 90 W Chestnut St, Suite 310, Washington, PA 15301 | 2007-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629601208 | Tammi Kathleen Hanak | Speech-Language Pathologist | 2212 Shawnee Drive, Address Line 2, Washington, PA 15301 | 2020-02-21 |
| 1922652460 | Shannon Rouse | Nurse Practitioner | 95 Leonard Avenue Building 2 2nd Floor, Washington, PA 15301 | 2019-08-01 |
| 1700352291 | Heather Mcvay PC | Clinic/Center | 2112 North Franklin Dr, Suite 3, Washington, PA 15301 | 2018-10-23 |
| 1689169880 | Oper King | Counselor | 8 Oliver Rd, Oliver Square Suite 116, Uniontown, PA 15301 | 2018-06-29 |
| 1609374701 | Centerville Clinics Inc | Social Worker | 201 Allison Ave, Washington High School, Washington, PA 15301 | 2018-01-24 |
| 1902304009 | Centerville Clinics, Inc. | Social Worker | 50 Scenic Drive, Trinity Middle School, Washington, PA 15301 | 2018-01-24 |
| 1780182873 | Centerville Clinics, Inc | Social Worker | 252 Cameron Road, Trinity East Elementary School, Washington, PA 15301 | 2018-01-24 |
| 1700384807 | Centerville Clinics Inc | Social Worker | 801 East Wheeling St., Washington Park Elementary, Washington, PA 15301 | 2018-01-24 |
| 1992203095 | Centerville Clinics Inc | Social Worker | 2500 South Main St Ext., Trinity South Elementary School, Washington, PA 15301 | 2018-01-24 |
| 1578061784 | Centerville Clinics, Inc. | Social Worker | 225 Midland Drive, Trinity North Elelmentary School, Washington, PA 15301 | 2018-01-23 |
| Find all providers in zip 15301 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427441948 | Leaton Dialysis LLC | Clinic/Center | 1225 S Capitol St Sw, Washington, DC 20003-3524 | 2015-03-09 |
| 1194138669 | Rai Care Centers of Southeast Dc, LLC | Clinic/Center | 1918 14th St Se, Washington, DC 20020-4867 | 2014-06-03 |
| 1467889469 | Total Renal Care Inc | Clinic/Center | 1040 Washington Sq, Washington, MO 63090-5302 | 2013-10-04 |
| 1184934200 | Rai Care Centers of Dc I LLC | Clinic/Center | 6411 Chillum Pl Nw, Washington, DC 20012-2133 | 2010-10-08 |
| 1548573330 | Biniam K Haileab | Clinic/Center | 1 Dupont Cir Nw, Washington, DC 20036-1110 | 2010-07-21 |
| 1528290590 | International Dialysis Center, LLC | Clinic/Center | 1730 Hamlin St Ne, Washington, DC 20018-1838 | 2009-08-10 |
| 1770773939 | Capitol Dialysis LLC | Clinic/Center | 2601 18th St, Washington, DC 20018-1301 | 2007-07-25 |
| 1750423869 | Affiliated Home Dialysis LLC | Clinic/Center | 2462 Washington Rd, Washington, IL 61571-1756 | 2007-02-13 |
| 1427145176 | Medstar - Georgetown Medical Center, Inc. | Clinic/Center | 3800 Reservoir Rd., Nw, Washington, DC 20007-2113 | 2006-10-06 |
| 1861596736 | Bio-medical Applications of Capitol Hill, Inc. | Clinic/Center | 900 M St Se, Washington, DC 20003-3614 | 2006-09-12 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 15301 |
Please comment or provide details below to improve the information on LIBERTY DIALYSIS - WASHINGTON LLC.
| 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.