NORTH CENTRAL PENNSYLVANIA DIALYSIS CLINCS LLC (NPI# 1710369467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710369467 |
| Entity Type | Organization |
| Organization Name | NORTH CENTRAL PENNSYLVANIA DIALYSIS CLINCS LLC |
| Other Organization Name | NORTH CENTRAL PENNSYLVANIA DIALYSIS CLINICS - GRAMPIAN |
| Practice Address |
1201 Grampian Blvd Williamsport PA 17701-1900 |
| Practice Telephone | 3307816212 |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-18 |
| Authorized Official Name | CHESTER A. AMEDIA JR. (MANAGING PARTNER) |
| Authorized Official Telephone | 3307816212 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTH CENTRAL PENNSYLVANIA DIALYSIS CLINICS LLC |
| 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 |
| Other Name | Type Code |
|---|---|
| North Central Pennsylvania Dialysis Clinics - Grampian | Doing Business As Name - Organization |
| Street Address |
1201 GRAMPIAN BLVD |
| City | WILLIAMSPORT |
| State | PA |
| Zip Code | 17701-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942293287 | Joanne Marie Lalli | Internal Medicine | 1201 Grampian Blvd, Ste 2d, Williamsport, PA 17701 | 2005-08-23 |
| 1205436987 | Nicholas Anthony Inverso II | Pharmacist | 1201 Grampian Blvd, Williamsport, PA 17701-1900 | 2020-10-30 |
| 1881193217 | Amanda Shadle | Specialist/Technologist | 1201 Grampian Blvd, Williamsport, PA 17701-1900 | 2018-02-12 |
| 1629528385 | Brian Kramer Jr. | Physician Assistant | 1201 Grampian Blvd, Suite 1a, Williamsport, PA 17701-1900 | 2016-10-06 |
| 1326498726 | Morgan Rogers | Family Medicine | 1201 Grampian Blvd, Suite 3c, Williamsport, PA 17701-1970 | 2016-06-16 |
| 1528424975 | Ncpdc Kidney Center LLC | Clinic/Center | 1201 Grampian Blvd, Williamsport, PA 17701-1900 | 2016-01-14 |
| 1124315320 | Christine Kara Nolan | Podiatrist | 1201 Grampian Blvd, Suite 2f, Williamsport, PA 17701-1965 | 2011-07-08 |
| 1013228857 | Steven Michael Hawley | Podiatrist | 1201 Grampian Blvd, Suite 2f, Williamsport, PA 17701-1965 | 2010-06-26 |
| 1578791497 | Zachary Thomas Ritter | Podiatrist | 1201 Grampian Blvd, Suite 2f, Williamsport, PA 17701-1965 | 2009-06-30 |
| 1396970547 | Susquehanna Physician Services | Nurse Practitioner | 1201 Grampian Blvd, Suite 2e, Williamsport, PA 17701-1966 | 2009-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
| 1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
| 1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
| 1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
| 1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
| 1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
| 1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
| 1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
| 1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
| Find all providers in zip 17701 | ||||
| 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 |
|---|---|---|---|---|
| 1528424975 | Ncpdc Kidney Center LLC | Clinic/Center | 1201 Grampian Blvd, Williamsport, PA 17701-1900 | 2016-01-14 |
| 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 | ||||
| City | WILLIAMSPORT |
| Zip Code | 17701 |
Please comment or provide details below to improve the information on NORTH CENTRAL PENNSYLVANIA DIALYSIS CLINCS 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.