PHYSICIANS DIALYSIS ACQUISITIONS INC (NPI# 1417919200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417919200 |
Entity Type | Organization |
Organization Name | PHYSICIANS DIALYSIS ACQUISITIONS INC |
Other Organization Name | PDI EBENSBURG |
Practice Address |
429 Manor Dr Ste 650 Ebensburg PA 15931-4917 |
Mailing Address |
5200 Virginia Way L & C Dept Brentwood TN 37027-7569 |
Practice Telephone | 8144722642 |
Practice Fax Number | 8144722138 |
Mailing Telephone | 6153416410 |
Mailing Fax Number | 8886628259 |
Enumeration Date | 2006-04-05 |
Last Update Date | 2020-06-23 |
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 | 1007765290015 | 05 |
Other Name | Type Code |
---|---|
PDI Ebensburg | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346374436 | Physicians Dialysis Acquisitions Inc | Clinic/Center | 19 Glennie St, Ste A, Worcester, MA 01605-3918 | 2007-03-14 |
1073575882 | Physicians Dialysis Acquisitions Inc | Clinic/Center | 344 Budfield St, Johnstown, PA 15904-3214 | 2006-04-05 |
1568424455 | Physicians Dialysis Acquisitions Inc | Clinic/Center | 1230 Ekhart St Ne, Grand Rapids, MI 49503-1372 | 2006-04-05 |
1528020021 | Physicians Dialysis Acquisitions Inc | Clinic/Center | 64 Victor St, Highland Park, MI 48203-3128 | 2006-04-03 |
1699736116 | Physicians Dialysis Acquisitions Inc | Clinic/Center | 16964 Robbins Rd, Suite 203, Grand Haven, MI 49417-2796 | 2006-04-01 |
1508827023 | Physicians Dialysis Acquisitions Inc | Clinic/Center | 801 Cherry St Se, Grand Rapids, MI 49506-1440 | 2006-04-01 |
1972564490 | Physicians Dialysis Acquisitions Inc | Clinic/Center | 11707 Whittier Ave, Detroit, MI 48224-1537 | 2006-04-01 |
1053387738 | Physicians Dialysis Acquisitions Inc | Clinic/Center | 30 Waterchase Dr, Rocky Hill, CT 06067-2110 | 2006-02-23 |
1386606184 | Physicians Dialysis Acquisitions Inc | Clinic/Center | 3905 Ford Rd, Philadelphia, PA 19131-2824 | 2006-04-05 |
1396707113 | Physicians Dialysis Acquisitions Inc | Clinic/Center | 834 Walnut St, Philadelphia, PA 19107-5109 | 2006-04-05 |
Street Address |
429 MANOR DR STE 650 |
City | EBENSBURG |
State | PA |
Zip Code | 15931-4917 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669476313 | County of Cambria | Skilled Nursing Facility | 429 Manor Dr, Ebensburg, PA 15931-4917 | 2005-06-10 |
1215550629 | Amanda Jo Hagerman | Registered Nurse | 429 Manor Dr, Ebensburg, PA 15931-4917 | 2020-05-20 |
1730716580 | Kacey Haluska | Registered Nurse | 429 Manor Dr, Ebensburg, PA 15931-4917 | 2020-03-23 |
1992341002 | Haley Rochelle Frischkorn | Social Worker | 429 Manor Dr, Ebensburg, PA 15931-4917 | 2019-11-24 |
1992353551 | Danielle Marie Lykens | Social Worker | 429 Manor Dr, Ebensburg, PA 15931-4917 | 2019-08-27 |
1437634755 | Courtney Rose Borischak | Registered Nurse | 429 Manor Dr, Ebensburg, PA 15931-4917 | 2018-10-02 |
1588141139 | Kelsey Lee Dolan | Social Worker | 429 Manor Dr, Ebensburg, PA 15931-4917 | 2018-07-26 |
1437649761 | Lindsey Mccoy | Registered Nurse | 429 Manor Dr, Ebensburg, PA 15931-4917 | 2018-05-11 |
1619402344 | Mary Elizabeth Winfield | Dietitian, Registered | 429 Manor Dr, Ebensburg, PA 15931-4917 | 2017-05-01 |
1548795529 | Angellina Cantos | Registered Nurse | 429 Manor Dr, Suite 10, Ebensburg, PA 15931-4917 | 2017-04-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245751288 | From The Heart Penn State | Home Health | 2354 Colver Road, Ebensburg, PA 15931 | 2017-06-29 |
1154722304 | Brenda Lee Stewart-bezilla | Specialist | 429 Manor Drive, Ebensburg, PA 15931 | 2014-09-08 |
1376959213 | Dlp Conemaugh Physician Practices LLC | Internal Medicine | 139 Cook Rd Ste 140, Ebensburg, PA 15931 | 2014-07-10 |
1083990220 | Brian J Sidone | Counselor | 3720 New Germany Rd, Ebensburg, PA 15931 | 2011-11-02 |
1508158643 | Ibrahim Mustafa Altubasi | Physical Therapist | 3053 New Germany Road, Ebensburg, PA 15931 | 2011-05-09 |
1710281381 | Samantha R Snowberger | Counselor | 499 Manor Dr, Ebensburg, PA 15931 | 2010-12-22 |
1003090416 | Robert Regis Maruca | Dentist | 300 W Highland Ave, Ebensburg, PA 15931 | 2007-12-20 |
1346375466 | Danna Johnson | Pharmacist | 4501 William Penn Highway, Ebensburg, PA 15931 | 2007-02-22 |
1811094352 | Bruce Allen Felix | Optometrist | 300 Wal-mart Drive, The Vision Center, Ebensburg, PA 15931 | 2006-09-19 |
1255440947 | Errol Dudley Henriques | General Practice | 519 North Caroline Street, Ebensburg, PA 15931 | 2006-08-29 |
Find all providers in zip 15931 |
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 |
---|---|---|---|---|
1184868051 | Prodigy Dialysis | Clinic/Center | 1100 W High St, Ebensburg, PA 15931-1706 | 2009-04-23 |
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 |
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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.