WOOTEN DIALYSIS LLC (NPI# 1225380181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225380181 |
| Entity Type | Organization |
| Organization Name | WOOTEN DIALYSIS LLC |
| Other Organization Name | CARLISLE REGIONAL DIALYSIS |
| Practice Address |
419 Village Dr Ste 10 Carlisle PA 17015-6943 |
| Mailing Address |
5200 Virginia Way L & C Dept Brentwood TN 37027-7569 |
| Practice Telephone | 7172185104 |
| Practice Fax Number | 7172410019 |
| Mailing Telephone | 6153416410 |
| Mailing Fax Number | 8886628259 |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2020-10-21 |
| 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 | 102844600 0001 | 05 |
| Other Name | Type Code |
|---|---|
| Carlisle Regional Dialysis | Doing Business As Name - Organization |
| Street Address |
419 VILLAGE DR STE 10 |
| City | CARLISLE |
| State | PA |
| Zip Code | 17015-6943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003812132 | Alexander Spasic | Family Medicine | 419 Village Dr, Suite 6, Carlisle, PA 17015-6943 | 2005-06-23 |
| 1326253782 | Penns Wood Physical Therapy Lim | Durable Medical Equipment & Medical Supplies | 419 Village Dr, Suite 3, Carlisle, PA 17015-6943 | 2007-05-11 |
| 1487769337 | Lancaster Hma Physician Management Inc. | Obstetrics & Gynecology | 419 Village Dr, Suite 4, Carlisle, PA 17013-6943 | 2006-08-20 |
| 1003839143 | Alexander Spasic Md Family Medicine LLC | Family Medicine | 419 Village Dr, Carlisle, PA 17015-6943 | 2006-07-26 |
| 1205868775 | Barbara Rigney | Dietitian, Registered | 419 Village Dr, Suite 7, Carlisle, PA 17013-6943 | 2006-07-07 |
| 1083672588 | Jan Renee Russell | Physical Therapy Assistant | 419 Village Dr, Ste 3, Carlisle, PA 17013 | 2006-05-03 |
| 1982661393 | Valerie Jean Korzun | Physical Therapist | 419 Village Dr, Suite 3, Carlisle, PA 17013 | 2006-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306470802 | Jenna Deppen | Speech-Language Pathologist | 417 Village Dr., Suite 4, Carlisle, PA 17015 | 2020-02-24 |
| 1952736225 | Miguel Antonio Salomon | Family Medicine | 1533 Commerce Avenue, Suite 1, Carlisle, PA 17015 | 2013-09-05 |
| 1780934489 | Daniel Patrick Flatley | Specialist | 1 Longsdorf Wat, Carlisle, PA 17015 | 2012-09-11 |
| 1548516396 | Bertha Alicia Castro Vasquez | Obstetrics & Gynecology | 2 Jennifer Ct Ste B, Carlisle, PA 17015 | 2012-07-31 |
| 1851665632 | Robert Lee Thompson | Ophthalmology | 1927 Walnut Bottom Rd, Carlisle, PA 17015 | 2012-02-27 |
| 1063739225 | Barbara Jane Leonard | Registered Nurse | 20 Pennway Drive, Carlisle, PA 17015 | 2010-04-28 |
| 1629228267 | Jill Hoffman | Audiologist | 1533 Commerce Ave 2, Carlisle, PA 17015 | 2008-09-19 |
| 1598978769 | Paulette Irma Berube | Counselor | 988 Pine Rd, Carlisle, PA 17015 | 2007-05-07 |
| 1952460594 | Thomas P Neslund Dmd PC | Dentist | 13 Brookwood Avenue, Suite 3, Carlisle, PA 17015 | 2006-12-08 |
| 1790720621 | Mark Steven Golec | Podiatrist | 47 Brookwood Ave, Carlisle, PA 17015 | 2006-06-17 |
| Find all providers in zip 17015 | ||||
| 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 |
|---|---|---|---|---|
| 1285697706 | Dca of Carlisle Inc | Clinic/Center | 101 Noble Blvd, Suite 103, Carlisle, PA 17013-4100 | 2006-04-07 |
| 1205484359 | Fresenius Medical Care Carlisle, LLC | Clinic/Center | 254 E High St, Carlisle, PA 17013-2520 | 2019-09-03 |
| 1518061381 | Bio-medical Applications of Pennsylvania Inc | Clinic/Center | 254 E High St, Carlisle, PA 17013-2520 | 2006-09-12 |
| 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.