FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SERVICES INC (NPI# 1013185354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013185354 |
| Entity Type | Organization |
| Organization Name | FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SERVICES INC |
| Other Organization Name | CKD SERVICES OF MON VALLEY |
| Practice Address |
17 Arentzen Blvd Ste. 105 Vista 1 Prof.ctr. Ckd Services of Mon Valley Charleroi PA 15022-1085 |
| Mailing Address |
920 Winter St Fmcna Ckd Services 3w-16 Waltham MA 02451-1521 |
| Practice Telephone | 7244890850 |
| Practice Fax Number | 7244890854 |
| Mailing Telephone | 7816994160 |
| Mailing Fax Number | 7816994046 |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-11-21 |
| Authorized Official Name | MARK FAWCETT (VICE PRESIDENT, TREASURER) |
| Authorized Official Telephone | 7816992668 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS 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 |
|---|---|
| CKD Services of Mon Valley | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972745016 | Fresenius Medical Care Comprehensive Ckd Services Inc | Clinic/Center | 2820 Mitchell Ave, #2828 Ckd Services of S Allentown, Allentown, PA 18103-7181 | 2009-04-06 |
| 1508034851 | Fresenius Medical Care Comprehensive Ckd Services Inc | Clinic/Center | 1215 E Broad St, Ckd Services of Tamaqua, Tamaqua, PA 18252-2229 | 2008-02-20 |
| 1083882641 | Fresenius Medical Care Comprehensive Ckd Services Inc | Clinic/Center | 500 Ala Moana Blvd Bldg 7, Suite 302, Honolulu, HI 96813-4920 | 2008-02-18 |
| 1902108509 | Fresenius Medical Care Comprehensive Ckd Services Inc | Nurse Practitioner | 91-101 Hartford St, Newark, NJ 07103-2833 | 2010-12-02 |
| 1619119757 | Fresenius Medical Care Comprehensive Ckd Services Inc | Clinic/Center | 125 S Courtland St, Ckd Services of E. Stroudsburg, East Stroudsburg, PA 18301-2804 | 2009-04-06 |
| 1609015064 | Fresenius Medical Care Comprehensive Ckd Services Inc | Clinic/Center | 9193 Sw 72nd St, Ste 100b Ckd Services of Miami, Miami, FL 33173-3487 | 2009-02-09 |
| 1912144023 | Fresenius Medical Care Comprehensive Ckd Services Inc | Clinic/Center | 1522 N Dixie Hwy, Ckd Services of Rcg W. Palm Beach, West Palm Beach, FL 33401-2720 | 2009-01-12 |
| 1770751042 | Fresenius Medical Care Comprehensive Ckd Services Inc | Clinic/Center | 730 Taylor Ave, Ckd Services of Clayton Taylor, Columbus, OH 43219-2527 | 2008-02-20 |
| 1245408681 | Fresenius Medical Care Comprehensive Ckd Services Inc | Clinic/Center | 601 8th St, Ckd Services of Fullerton, Whitehall, PA 18052-5701 | 2008-02-20 |
| 1932377371 | Fresenius Medical Care Comprehensive Ckd Services Inc | Clinic/Center | 562 Shearer St, Ckd Services of Greensburg, Greensburg, PA 15601-2746 | 2008-02-20 |
| Street Address |
17 ARENTZEN BLVD STE. 105 VISTA 1 PROF.CTR. CKD SERVICES OF MON VALLEY |
| City | CHARLEROI |
| State | PA |
| Zip Code | 15022-1085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720050289 | Derienzo Family Practice | Family Medicine | 17 Arentzen Blvd, Charleroi, PA 15022-1085 | 2006-02-07 |
| 1689168015 | Preferred Primary Care Physicians, Inc. | Family Medicine | 17 Arentzen Blvd, Charleroi, PA 15022-1085 | 2018-06-19 |
| 1881903532 | Primary Care Group 12, Inc. | Family Medicine | 17 Arentzen Blvd, Suite 101, Charleroi, PA 15022-1085 | 2010-09-29 |
| 1982873105 | Derienzo Family Practice, P.C. | Non-Pharmacy Dispensing Site | 17 Arentzen Blvd, 101, Charleroi, PA 15022-1085 | 2008-02-21 |
| 1164524575 | Colleen Malena Petitto | Dietitian, Registered | 17 Arentzen Blvd, Vista One Professional Center Suite 105, Charleroi, PA 15022-1085 | 2006-09-05 |
| 1629007505 | Davidson- Tucker Oral Surgery Associates | Dentist | 17 Arentzen Blvd, Suite #104, Charleroi, PA 15022-1085 | 2006-07-02 |
| 1073581732 | Charles Peter Tucker | Dentist | 17 Arentzen Blvd, Suite #104, Charleroi, PA 15022-1085 | 2006-03-09 |
| 1427021674 | Umberto Anthony Derienzo | Family Medicine | 17 Arentzen Blvd, Charleroi, PA 15022 | 2006-02-08 |
| 1376515999 | Rhonda Lynn Wingrove | Family Medicine | 17 Arentzen Blvd, Charleroi, PA 15022 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497195267 | Mohammad F Pathan | Family Medicine | 305 Mckian Ave, Charleroi, PA 15022 | 2013-06-26 |
| 1275761967 | The Eyesight Center | Ophthalmology | 305 Mckean Avenue, Charleroi, PA 15022 | 2009-07-01 |
| 1487859682 | Rose Marie Yawny | Pharmacist | 5th and Mckean Ave, Charleroi, PA 15022 | 2007-06-18 |
| 1629124607 | Paul Joseph Harbosky | Chiropractor | 612 Fallowfield Ave, Charleroi, PA 15022 | 2007-01-25 |
| 1548343338 | Benjamin H Reuter | Specialist/Technologist | 346 Twin Bridges Road, Charleroi, PA 15022 | 2006-10-23 |
| 1033214838 | Bio-medical Applications of Pennsylvania, Inc. | Clinic/Center | Vista One Professional Center, 17 Arentzen Blvd. Suite 105, Charleroi, PA 15022 | 2006-09-14 |
| 1235249061 | John J Charletta | Dentist | 228 Mckean Ave, 2nd Floor, Charleroi, PA 15022 | 2006-08-30 |
| 1235167610 | Steve L Dusi | Physical Therapist | Arentzen Blvd., Vista One Professional Plaza Suite 205, Charleroi, PA 15022 | 2006-06-28 |
| 1891792511 | Kenneth Howard Lentz | Internal Medicine | Professional Plaza, Suite 206, North Charleroi, PA 15022 | 2005-07-07 |
| 1295259646 | Julia Disanti | Nurse Practitioner | 17 Arentzen Blvd Ste 101, Charleroi, PA 15022 | 2017-07-27 |
| Find all providers in zip 15022 | ||||
| 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 |
|---|---|---|---|---|
| 1033214838 | Bio-medical Applications of Pennsylvania, Inc. | Clinic/Center | Vista One Professional Center, 17 Arentzen Blvd. Suite 105, Charleroi, PA 15022 | 2006-09-14 |
| 1235184748 | Bio-medical Applications of Pennsylvania, Inc | Clinic/Center | 17 Arentzen Blvd Ste 105, Vista 1 Professional Ctr - Ckd Services, Charleroi, PA 15022-1085 | 2006-05-23 |
| 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 | ||||
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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.