ETOWAH DIALYSIS LLC (NPI# 1891121166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891121166 |
| Entity Type | Organization |
| Organization Name | ETOWAH DIALYSIS LLC |
| Other Organization Name | ST LUKES QUAKERTOWN DIALYSIS |
| Practice Address |
1021 Park Ave Quakertown PA 18951-1573 |
| Mailing Address |
5200 Virginia Way L & C Dept Brentwood TN 37027-7569 |
| Practice Telephone | 2155368184 |
| Practice Fax Number | 2155382090 |
| Mailing Telephone | 6153416410 |
| Mailing Fax Number | 8886628259 |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2020-08-03 |
| 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 | 1029243170001 | 05 |
| Other Name | Type Code |
|---|---|
| St Lukes Quakertown Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659830800 | Etowah Dialysis LLC | Clinic/Center | 2550 Route 100, Ste 2, Macungie, PA 18062-0000 | 2019-03-18 |
| 1033687413 | Etowah Dialysis LLC | Clinic/Center | 1215 E Broad St, Ste 20, Tamaqua, PA 18252-2229 | 2018-11-05 |
| 1376909515 | Etowah Dialysis LLC | Clinic/Center | 1901 Hamilton St, Ste 200, Allentown, PA 18104-6460 | 2016-01-04 |
| 1770948838 | Etowah Dialysis LLC | Clinic/Center | 1220 3rd St, Whitehall, PA 18052-4905 | 2015-12-16 |
| 1457787715 | Etowah Dialysis LLC | Clinic/Center | 1425 8th Ave, Bethlehem, PA 18018-2256 | 2013-09-18 |
| 1790111060 | Etowah Dialysis LLC | Clinic/Center | 1901 Hamilton St, Ste 100, Allentown, PA 18104-6460 | 2013-09-18 |
| Street Address |
1021 PARK AVE |
| City | QUAKERTOWN |
| State | PA |
| Zip Code | 18951-1573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346249208 | Joseph P Campbell IIi | Podiatrist | 1021 Park Ave, Suite 100a, Quakertown, PA 18951-1573 | 2005-07-21 |
| 1811534399 | Sarah Kahan | Physical Therapist | 1021 Park Ave, Quakertown, PA 18951 | 2019-12-04 |
| 1881149391 | Katarina Karnas | Physical Therapist | 1021 Park Ave, Quakertown, PA 18951-0130 | 2016-08-25 |
| 1477900421 | Odunayo Elizabeth Ogunnaike | Internal Medicine | 1021 Park Ave, Quakertown, PA 18951-0130 | 2016-05-19 |
| 1356740013 | St. Luke's Physician Group Inc | Internal Medicine | 1021 Park Ave, Suite #101, Quakertown, PA 18951-1573 | 2014-08-19 |
| 1275879447 | Karen Winter | Nurse Practitioner | 1021 Park Ave, Quakertown, PA 18951-1573 | 2012-12-17 |
| 1063730562 | Diane P. Mccabe | Physician Assistant | 1021 Park Ave, Suite 10, Quakertown, PA 18951-1573 | 2010-05-07 |
| 1134446297 | Quakertown Internal Medicine Associates | Internal Medicine | 1021 Park Ave, Suite 101, Quakertown, PA 18951-1573 | 2010-04-29 |
| 1659533172 | St Lukes Quakertown Hospital | Dietitian, Registered | 1021 Park Ave, Quakertown, PA 18951-1573 | 2008-06-26 |
| 1760658165 | Nicole Kyriakos | Physician Assistant | 1021 Park Ave, Suite 101, Quakertown, PA 18951-0130 | 2008-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861038416 | Emily Kaempf | Physical Therapist | 1534 Park Avenue Suite 110, Quakertown, PA 18951 | 2019-11-19 |
| 1376038927 | Crystal Casiano | Counselor | 16 S Main Street, Quakertown, PA 18951 | 2018-06-26 |
| 1265923833 | Tammy Westney | Nutritionist | 189 Buck Run Road, Quakertown, PA 18951 | 2018-05-19 |
| 1386155919 | Grand View Urgent Care, LLC. | Clinic/Center | 5 Quakers Way, Quakertown, PA 18951 | 2017-10-23 |
| 1174043194 | Kayla Ann Schubert | Social Worker | 16 South Main St., Quakertown, PA 18951 | 2017-06-21 |
| 1831628106 | Jose Javier Lazaro | Student in an Organized Health Care Education/Training Program | 1756 Creamery Rd, Quakertown, PA 18951 | 2017-06-08 |
| 1639611908 | Tara Stine | Student in an Organized Health Care Education/Training Program | 2410 Hieter Road, Quakertown, PA 18951 | 2016-11-17 |
| 1609327469 | Barc Developmental Services | Intermediate Care Facility, Mentally Retarded | 229 N Hellertown Ave, Quakertown, PA 18951 | 2016-10-17 |
| 1356695837 | Phillip Bennett | Pharmacist | 1408 West Broad St Su 2, The Medicine Shoppe, Quakertown, PA 18951 | 2012-11-05 |
| 1851629380 | Usv Optical Inc. | Technician/Technologist | 616 North West End Blvd, Quakertown, PA 18951 | 2009-11-20 |
| Find all providers in zip 18951 | ||||
| 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 |
|---|---|---|---|---|
| 1851488456 | St. Luke's Quakertown Hospital | Clinic/Center | 1021 Park Avenue, Quakertown, PA 18951 | 2006-10-06 |
| 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 | QUAKERTOWN |
| Zip Code | 18951 |
Please comment or provide details below to improve the information on ETOWAH DIALYSIS 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.