ETOWAH DIALYSIS LLC (NPI# 1376909515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376909515 |
| Entity Type | Organization |
| Organization Name | ETOWAH DIALYSIS LLC |
| Other Organization Name | ST LUKES HOME TRAINING |
| Practice Address |
1901 Hamilton St Ste 200 Allentown PA 18104-6460 |
| Mailing Address |
5200 Virginia Way L & C Dept Brentwood TN 37027-7569 |
| Practice Telephone | 6107761479 |
| Practice Fax Number | 6104336306 |
| Mailing Telephone | 6153416410 |
| Mailing Fax Number | 8886628259 |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2020-08-03 |
| Authorized Official Name | JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334501 |
| 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 |
|---|---|---|---|
| PA | 1029243170005 | 05 |
| Other Name | Type Code |
|---|---|
| St Lukes Home Training | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659830800 | Etowah Dialysis LLC | Clinic/Center | 2550 Route 100, Ste 2, Macungie, PA 18062-0000 | 2019-03-18 |
| 1033687413 | Etowah Dialysis LLC | Clinic/Center | 1215 E Broad St, Ste 20, Tamaqua, PA 18252-2229 | 2018-11-05 |
| 1770948838 | Etowah Dialysis LLC | Clinic/Center | 1220 3rd St, Whitehall, PA 18052-4905 | 2015-12-16 |
| 1891121166 | Etowah Dialysis LLC | Clinic/Center | 1021 Park Ave, Quakertown, PA 18951-1573 | 2013-09-18 |
| 1457787715 | Etowah Dialysis LLC | Clinic/Center | 1425 8th Ave, Bethlehem, PA 18018-2256 | 2013-09-18 |
| 1790111060 | Etowah Dialysis LLC | Clinic/Center | 1901 Hamilton St, Ste 100, Allentown, PA 18104-6460 | 2013-09-18 |
| Street Address |
1901 HAMILTON ST STE 200 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18104-6460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497733406 | Victor J Powers | Specialist | 1901 Hamilton St, Suite 300, Allentown, PA 18104-6459 | 2006-01-09 |
| 1043855901 | Matthew Kovalchick | Physical Therapist | 1901 Hamilton St, Allentown, PA 18104-6459 | 2019-11-14 |
| 1184078925 | Erin Donohue | Physical Therapist | 1901 Hamilton St, Allentown, PA 18104-6459 | 2016-04-18 |
| 1376972653 | Chelsea Modesto | Physician Assistant | 1901 Hamilton St, Suite 300, Allentown, PA 18104-6459 | 2013-11-06 |
| 1578999777 | Vanessa M. Troyer | Physician Assistant | 1901 Hamilton St, Suite 300, Allentown, PA 18104-6459 | 2013-09-19 |
| 1790111060 | Etowah Dialysis LLC | Clinic/Center | 1901 Hamilton St, Ste 100, Allentown, PA 18104-6460 | 2013-09-18 |
| 1104197839 | Swomya Prakash Bal | Internal Medicine | 1901 Hamilton St, Suite 300, Allentown, PA 18104-6459 | 2012-01-26 |
| 1336423318 | Jesse Buggey | Physical Therapist | 1901 Hamilton St, Allentown, PA 18104-6459 | 2011-10-07 |
| 1033434436 | Dhaval Sureja | Internal Medicine | 1901 Hamilton St, Suite 300, Allentown, PA 18104-6459 | 2010-03-30 |
| 1275864431 | Satyam Arora | Internal Medicine | 1901 Hamilton St, Suite 300, Allentown, PA 18104-6459 | 2010-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174134191 | The Calm Space LLC | Social Worker | 2047 Pa-309, Allentown, PA 18104 | 2020-08-13 |
| 1790333458 | Loanna T Nguyen | Nurse Practitioner | 2895 Halmilton Blvd, Suite 202, Allentown, PA 18104 | 2019-08-27 |
| 1093360513 | Meghan Paul | Pharmacist | 1727 W Liberty Street, Unit 2, Allentown, PA 18104 | 2019-08-02 |
| 1750948154 | Patricia Terreros | Counselor | 3057 College Heights Blvd Suite Ll, Allentown, PA 18104 | 2019-05-22 |
| 1023593084 | Hearvana | Clinic/Center | 2200 Wets Hamilton Street Suite 311, Allentown, PA 18104 | 2018-09-26 |
| 1700397098 | Amanda L Sellers | Psychologist | 121 N Cedar Crest Blvd Ste A, Allentown, PA 18104 | 2017-10-13 |
| 1689104457 | Craig Ryan Miller | Physical Therapist | 1651 N Cedar Crest Blvd Ste 100, Allentown, PA 18104 | 2017-06-14 |
| 1780128207 | Brandi Nicole Burns | Pediatrics | 1517 Pond Road, Allentown, PA 18104 | 2016-12-19 |
| 1750824264 | William Edward Thawley | Pharmacist | 322 N 7th St., Allentown, PA 18104 | 2016-12-01 |
| 1609222371 | Extremity Mri Inc | Radiologic Technologist | 3131 College Heights Blvd Ste 400, Allentown, PA 18104 | 2016-05-11 |
| Find all providers in zip 18104 | ||||
| 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 |
|---|---|---|---|---|
| 1972745016 | Fresenius Medical Care Comprehensive Ckd Services Inc | Clinic/Center | 2820 Mitchell Ave, #2828 Ckd Services of S Allentown, Allentown, PA 18103-7181 | 2009-04-06 |
| 1083719363 | Bio-medical Applications of Pennsylvania Inc. | Clinic/Center | 2820 Mitchell Ave # 2828, Allentown, PA 18103-7181 | 2006-09-13 |
| 1679952931 | Bio-medical Applications of Pennsylvania, Inc. | Clinic/Center | 7310 Tilghman St, Allentown, PA 18106-9038 | 2015-05-20 |
| 1790111060 | Etowah Dialysis LLC | Clinic/Center | 1901 Hamilton St, Ste 100, Allentown, PA 18104-6460 | 2013-09-18 |
| 1457436412 | Lehigh Valley Hospital | Clinic/Center | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2006-10-26 |
| 1750485629 | Bio-medical Applications of Pennsylvania Inc | Clinic/Center | 3136 Hamilton Blvd, Allentown, PA 18103-3671 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157123 | Fresenius Medical Care Southwest Pittsburgh, LLC | Clinic/Center | 3 Robinson Plz Ste 110, Pittsburgh, PA 15205-1018 | 2020-08-31 |
| 1295344307 | Isd Renal Inc | Clinic/Center | 1930 S Broad St Unit 7, Philadelphia, PA 19145-2328 | 2020-07-24 |
| 1225647332 | Isd Renal Inc | Clinic/Center | 230 N Broad St Bldg 12th, Philadelphia, PA 19102-1121 | 2020-07-24 |
| 1336758549 | Isd Renal Inc | Clinic/Center | 1300 W Lehigh Ave Ste 106, Philadelphia, PA 19132-2764 | 2020-07-24 |
| 1992323976 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 300 Cedar Ridge Dr Ste 302, Pittsburgh, PA 15205-1159 | 2020-07-07 |
| 1750906574 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 9333 State Route 61, Coal Township, PA 17866-4170 | 2020-06-09 |
| 1407479124 | Dialysis Clinic Inc | Clinic/Center | 1603 Carmody Ct Ste 103, Sewickley, PA 15143-8859 | 2020-05-28 |
| 1154944486 | Fresenius Medical Care Wyomissing, LLC | Clinic/Center | 656 Berkshire Blvd, Wyomissing, PA 19610 | 2020-05-21 |
| 1336774181 | Elkonson Dialysis LLC | Clinic/Center | 350 Tri County Ln, Rostraver Township, PA 15012-1990 | 2020-03-11 |
| 1417599168 | Renal Treatment Centers - Mid-atlantic Inc | Clinic/Center | 8000c Derry St, Harrisburg, PA 17111-5200 | 2019-10-15 |
| Find all providers with the same taxonomy | ||||
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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.