DVA HEALTHCARE OF PENNSYLVANIA LLC (NPI# 1659334985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659334985 |
Entity Type | Organization |
Organization Name | DVA HEALTHCARE OF PENNSYLVANIA LLC |
Other Organization Name | PHILADELPHIA PMC DIALYSIS |
Practice Address |
3823 Market St Philadelphia PA 19104-3145 |
Mailing Address |
5200 Virginia Way L & C Dept Brentwood TN 37027-7569 |
Practice Telephone | 2152220671 |
Practice Fax Number | 2158236949 |
Mailing Telephone | 6153416410 |
Mailing Fax Number | 8886628259 |
Enumeration Date | 2006-04-08 |
Last Update Date | 2020-08-27 |
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 |
---|---|---|---|
NJ | 8452601 | 05 | |
PA | 1007451930008 | 05 | |
PA | 1007451930024 | 05 |
Other Name | Type Code |
---|---|
Philadelphia PMC Dialysis | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841253176 | Dva Healthcare of Pennsylvania LLC | Clinic/Center | 4126 Walnut St, Philadelphia, PA 19104-3511 | 2006-04-08 |
1124080825 | Dva Healthcare of Pennsylvania LLC | Clinic/Center | 248 Elm Dr, Waynesburg, PA 15370-8269 | 2006-04-06 |
1669434593 | Dva Healthcare of Pennsylvania LLC | Clinic/Center | 101 9th St, Mckeesport, PA 15132-3953 | 2006-04-05 |
1104888932 | Dva Healthcare of Pennsylvania LLC | Clinic/Center | 4312 Penn Ave, Pittsburgh, PA 15224-1310 | 2006-04-05 |
1457313231 | Dva Healthcare of Pennsylvania LLC | Clinic/Center | 32 Steubenville Pike, Paris, PA 15021-8529 | 2006-04-05 |
1639131477 | Dva Healthcare of Pennsylvania LLC | Clinic/Center | 170 N Henderson Rd, King of Prussia, PA 19406-2155 | 2006-04-05 |
1144282021 | Dva Healthcare of Pennsylvania LLC | Clinic/Center | 3701 Market St, Ste 100, Philadelphia, PA 19104-5503 | 2006-04-05 |
Street Address |
3823 MARKET ST |
City | PHILADELPHIA |
State | PA |
Zip Code | 19104-3145 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
Find all providers in zip 19104 |
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 |
---|---|---|---|---|
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 |
1235795204 | Isd Renal Inc | Clinic/Center | 4952 Parkside Ave, Philadelphia, PA 19131 | 2019-05-15 |
1306322516 | Isd Renal, Inc | Clinic/Center | 6501 Roosevelt Blvd, Ste 6581, Philadelphia, PA 19149-2918 | 2018-07-11 |
1093229809 | Northeast Philadelphia Dialysis Center LLC | Clinic/Center | 9815 Roosevelt Blvd Ste 1-a, Philadelphia, PA 19114-1035 | 2017-12-01 |
1134640949 | Isd Renal Inc | Clinic/Center | 1236 N 26th St, Philadelphia, PA 19121-4602 | 2017-06-30 |
1851812069 | Total Renal Care Inc | Clinic/Center | 235 W Chelten Ave, Philadelphia, PA 19144-3802 | 2017-06-28 |
1710411707 | Rcg Mississippi, Inc. | Clinic/Center | 1100 Central Drive, Philadelphia, MS 39350 | 2017-04-17 |
1609249986 | Bio-medical Applications of Pennsylvania, Inc. | Clinic/Center | 301 W Chelten Ave, Philadelphia, PA 19144-3804 | 2015-11-09 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19104 |
Please comment or provide details below to improve the information on DVA HEALTHCARE OF PENNSYLVANIA 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.