PHYSICIANS DIALYSIS OF LANCASTER LLC (NPI# 1790319887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790319887 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS DIALYSIS OF LANCASTER LLC |
| Practice Address |
226 Willow Valley Lakes Dr Willow Street PA 17584-9665 |
| Mailing Address |
5200 Virginia Way Brentwood TN 37027-7569 |
| Practice Telephone | 7179473556 |
| Practice Fax Number | 7179473574 |
| Mailing Telephone | 6153204286 |
| Mailing Fax Number | 8665942893 |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-02-27 |
| Authorized Official Name | JOHN D WINSTEL (CAO, TREASURER) |
| Authorized Official Telephone | 2537334500 |
| Is Organization Subpart | Y |
| Parent Organization Name | DAVITA INC |
| 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 |
|---|---|
| Willow Lakes Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124388541 | Physicians Dialysis of Lancaster LLC | Clinic/Center | 1650 Manheim Pike, Lancaster, PA 17601-3056 | 2012-05-18 |
| 1629030432 | Physicians Dialysis of Lancaster LLC | Clinic/Center | 1412 E King St, Lancaster, PA 17602-3240 | 2006-04-05 |
| 1508828302 | Physicians Dialysis of Lancaster LLC | Clinic/Center | 67 W Church St, Stevens, PA 17578-9203 | 2006-04-05 |
| 1811257108 | Physicians Dialysis of Lancaster LLC | Clinic/Center | 2100 Harrisburg Pike, Fl 3, Lancaster, PA 17601-2644 | 2012-05-21 |
| 1013113950 | Physicians Dialysis of Lancaster LLC | Clinic/Center | 2110 Harrisburg Pike, Suite 310, Lancaster, PA 17601-2644 | 2007-06-26 |
| Street Address |
226 WILLOW VALLEY LAKES DR |
| City | WILLOW STREET |
| State | PA |
| Zip Code | 17584-9665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639139223 | Kamal A. Elliot | Specialist | 226 Willow Valley Lakes Dr, Suite D, Willow Street, PA 17584-9665 | 2006-03-27 |
| 1003168279 | A&e Audiology and Hearing Aid Center | Audiologist | 226 Willow Valley Lakes Dr, Suite D, Willow Street, PA 17584-9665 | 2012-10-11 |
| 1407898968 | Mihaela Andrian | Internal Medicine | 226 Willow Valley Lakes Dr, Suite F, Willow Street, PA 17584-9665 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396397873 | Bethany M Noll | Audiologist-Hearing Aid Fitter | 226 Willow Valley Lakes Drive, Suite D, Willow Street, PA 17584 | 2019-07-15 |
| 1720546070 | Michelle Beachy | Licensed Practical Nurse | 212 Willow Lakes Drive, Suite 208, Willow Street, PA 17584 | 2019-03-06 |
| 1295293603 | Mary Florida | Registered Nurse | Department of Veteran Affiars, 212 Willow Valley Lakes Drive, Willow Street, PA 17584 | 2019-03-05 |
| 1275069494 | Victoria Vanburen | Counselor | 2819 Willow Street Pike, Willow Street, PA 17584 | 2017-05-08 |
| 1528505245 | Beverly Gooden | Pharmacist | 2600 Willow St. Pike, Willow St., PA 17584 | 2017-01-20 |
| 1902357544 | White Family Dental - Willow Street | Dentist | 212 Willow Valley Drive, Suite 209, Willow Street, PA 17584 | 2016-10-19 |
| 1134482144 | Alexis H Le | Pharmacist | 2600 N Willow Street Pike, Kmart Pharmacy #3810, Willow Street, PA 17584 | 2012-06-25 |
| 1992020309 | Elizabeth A Trozzo | Pharmacist | 2600 Willow Street Pike, Willow Street, PA 17584 | 2010-03-30 |
| 1295987642 | Nu Smile Family Dentistry | Dentist | 2600 Willowstreet Pike, Ste# 310, Willo W Street, PA 17584 | 2008-10-16 |
| 1629255948 | T W Ponessa and Associates Counseling Services Inc | Community/Behavioral Health | 730 Hans Herr Drive, Willow Street, PA 17584 | 2008-01-29 |
| Find all providers in zip 17584 | ||||
| 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 |
|---|---|---|---|---|
| 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 | WILLOW STREET |
| Zip Code | 17584 |
Please comment or provide details below to improve the information on PHYSICIANS DIALYSIS OF LANCASTER 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.