CLINICAL RENAL ASSOCIATES, LTD. (NPI# 1689620254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689620254 |
| Entity Type | Organization |
| Organization Name | CLINICAL RENAL ASSOCIATES, LTD. |
| Practice Address |
30 Medical Center Blvd Suite 303 Upland PA 19013-3955 |
| Mailing Address |
2149 E Warner Rd Ste 102 Tempe AZ 85284-3495 |
| Practice Telephone | 6108728501 |
| Practice Fax Number | 6108725188 |
| Mailing Telephone | 4806106136 |
| Mailing Fax Number | 4806106136 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2019-07-03 |
| Authorized Official Name | ROY G. MARCUS (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 6108728501 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PERSONAL CHOICE | 0032975000 | 01 |
| PA | KEYSTONE MERCY | 045319 | 01 |
| PA | AMERIHEALTH | 0032975000 | 01 |
| PA | 0007608670008 | 05 | |
| PA | RAIL ROAD MEDICARE | CF3534 | 01 |
| PA | BCBS PA | 110372 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1098 W Baltimore Pike Ste 3306, Media, PA 19063 | 6108728501 | 6108725188 |
| 1001 Baltimore Pike Ste 109, Springfield, PA 190642852 | 6108728501 | 6108725188 |
| 1020 Baltimore Pike Ste 220, Glen Mills, PA 193421372 | 6108728501 | 6108725188 |
| 860 Springdale Dr Ste 100, Exton, PA 193412834 | 6108728501 | 6108725188 |
| 255 W Lancaster Ave Ste 200, Paoli, PA 193011763 | 6108728501 | 6108725188 |
| 1015 W Baltimore Pike Ste 310, West Grove, PA 193909459 | 6108728501 | 6108725188 |
| 196 W Sproul Rd Ste 207, Springfield, PA 190642045 | 6108728501 | 6108725188 |
| 8 Morton Ave Ste 304, Ridley Park, PA 190782216 | 6108728501 | 6108725188 |
| 300 Evergreen Dr Ste 130, Glen Mills, PA 193421081 | 6108728501 | 6108725188 |
| 1088 W Baltimore Pike Ste 2105, Media, PA 190635136 | 6108728501 | 6108725188 |
| 213 Reeceville Rd Ste 32, Coatesville, PA 193201533 | 6108728501 | 6108725188 |
| 520 Maple Ave Ste 3, West Chester, PA 193804434 | 6108728501 | 6108725188 |
| 1501 Lansdowne Ave Ste 201, Darby, PA 190231333 | 6108728501 | 6108725188 |
| 501 S 54th St Ste 227, Philadelphia, PA 191431900 | 6108728501 | 6108725188 |
| Street Address |
30 MEDICAL CENTER BLVD SUITE 303 |
| City | UPLAND |
| State | PA |
| Zip Code | 19013-3955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922004985 | S Jay Hirsh | Urology | 30 Medical Center Blvd, Ste 102, Upland, PA 19013-3955 | 2005-06-24 |
| 1174981278 | Jennifer Howarth | Registered Nurse | 30 Medical Center Blvd, Pob 1 Suite 305, Upland, PA 19013 | 2016-02-03 |
| 1699101428 | Caitlin Sarah Morgan | Dietitian, Registered | 30 Medical Center Blvd, Suite 205, Upland, PA 19013 | 2013-09-25 |
| 1568726669 | Michelle R Marcantuno | Nurse Practitioner | 30 Medical Center Blvd, Suite 404, Upland, PA 19013 | 2012-07-03 |
| 1265720502 | Yelena Kostyukov | Physician Assistant | 30 Medical Center Blvd, Prof Office Bldg 1, Suite 305, Upland, PA 19013 | 2011-07-20 |
| 1760790380 | Rita P Nunag | Pediatrics | 30 Medical Center Blvd, Suite 205, Upland, PA 19013 | 2010-09-16 |
| 1841503232 | Venkata Sandeep Yadavalli | Internal Medicine | 30 Medical Center Blvd, Suite 404, Upland, PA 19013 | 2010-07-14 |
| 1487965364 | Sonia Brar | Internal Medicine | 30 Medical Center Blvd, Suite 404, Upland, PA 19013 | 2010-06-25 |
| 1043521255 | Rambabu Thallapaneni | Family Medicine | 30 Medical Center Blvd, Suite 404, Upland, PA 19013 | 2010-06-23 |
| 1215250758 | Erin Marie Mannella | Nurse Practitioner | 30 Medical Center Blvd, Suite 404, Upland, PA 19013-3955 | 2010-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790305043 | Erika Pack | Student in an Organized Health Care Education/Training Program | Crozer-chester Medical Center, 1 Medical Center Blvd., Upland, PA 19013 | 2020-04-16 |
| 1477195287 | Andrew Matthews | Counselor | 301 West 15 Street, Chester, PA 19013 | 2019-10-14 |
| 1780241133 | Raashidah Elizabeth Bowman | Contractor | 1208 Remington Street, Chester, PA 19013 | 2019-05-21 |
| 1134609464 | Shamira Clintonia Johnson | Nurse's Aide | 217 W 5th St, Chester, PA 19013 | 2018-08-16 |
| 1871081299 | Michael Briskey | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blv.d, Chester, PA 19013 | 2018-05-01 |
| 1356845499 | Sonia Gaur | Internal Medicine | 1 Medical Center Blvd Fl 3, Chester, PA 19013 | 2018-03-22 |
| 1548619232 | Beth Barol | Social Worker | 1602 Walnut St, Center for Social Work Education, Chester, PA 19013 | 2016-06-03 |
| 1235594888 | Eryka Jackson | Counselor | 516 West 5th Street, Chester, PA 19013 | 2015-12-28 |
| 1437553146 | Erin Hipple | Counselor | 200 West 9th St, Chester, PA 19013 | 2014-10-09 |
| 1588079867 | Crozer Chester Medical Center | Clinic/Center | 201 Bridgewater Road, Chester Township, PA 19013 | 2014-06-25 |
| Find all providers in zip 19013 | ||||
| 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 |
|---|---|---|---|---|
| 1194742775 | Erlinda T Uy - Concepcion | Internal Medicine | 536 E Foothill Blvd Ste B, Upland, CA 91786-3988 | 2006-07-17 |
| 1750316139 | Mohammed Feroz Alam | Internal Medicine | 536 E Foothill Blvd, Ste B, Upland, CA 91786-3955 | 2006-07-12 |
| 1154353126 | Jin Wang | Internal Medicine | 1317 W Foothill Blvd, Ste 148, Upland, CA 91786-3676 | 2006-07-07 |
| 1982631222 | Nephrology Associates of Upland and Pomona | Internal Medicine | 1317 W Foothill Blvd Ste 148, Upland, CA 91786-3675 | 2006-06-26 |
| 1861791105 | Gerald S Friedman M D Inc | Internal Medicine | 600 N 13th Ave, Suite 100, Upland, CA 91786-4957 | 2011-03-25 |
| 1740424712 | Nima Naimi | Internal Medicine | 1317 W Foothill Blvd, Ste 148, Upland, CA 91786-3676 | 2009-04-22 |
| 1841447745 | Minna F Huang | Internal Medicine | 1317 W Foothill Blvd, Ste 148, Upland, CA 91786-3676 | 2008-08-21 |
| 1861668188 | Erlinda Uy-concepcion M D Inc | Internal Medicine | 536 E Foothill Blvd, Suite B, Upland, CA 91786-3955 | 2008-05-06 |
| 1841225224 | Mary Phuong Bui | Internal Medicine | 1317 W Foothill Blvd, Ste 148, Upland, CA 91786-3676 | 2006-07-12 |
| 1366474322 | Gerald Stanley Friedman | Internal Medicine | 600 N 13th Ave, Ste 100, Upland, CA 91786-4957 | 2006-07-07 |
| Find all providers in UPLAND | ||||
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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.