RENAL TREATMENT CENTERS MID ATLANTIC INC (NPI# 1285163816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285163816 |
| Entity Type | Organization |
| Organization Name | RENAL TREATMENT CENTERS MID ATLANTIC INC |
| Other Organization Name | PAOLI PARK DIALYSIS |
| Practice Address |
4 Industrial Blvd Ste 155 Paoli PA 19301-1614 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 6106443084 |
| Practice Fax Number | 6104072805 |
| Mailing Telephone | 6153416410 |
| Mailing Fax Number | 8886628259 |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2019-01-07 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFC & TREASURER) |
| Authorized Official Telephone | 2537334500 |
| 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 | PENDING | 05 |
| Other Name | Type Code |
|---|---|
| Paoli Park Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1912567330 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 501 Walnut Way, Palmetto, GA 30268-1800 | 2019-06-18 |
| 1982183224 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 251 Mount Nebo Pointe Rd, Pittsburgh, PA 15237-1313 | 2018-08-08 |
| 1306338306 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 626 W Main St, Murfreesboro, NC 27855-1510 | 2018-06-05 |
| 1184143356 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 2210 W Webb Ave, Burlington, NC 27217-1068 | 2017-09-19 |
| 1306362660 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 4110 Austell Powder Springs Rd Ste 100, Powder Springs, GA 30127-2954 | 2017-08-18 |
| 1437684503 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 96 June Dr, Roaring Spring, PA 16673-2316 | 2017-04-26 |
| 1700055399 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 2201 Colonial Ave, Norfolk, VA 23517-1928 | 2008-02-27 |
| 1851594329 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 3651 Bakers Ferry Rd Sw, Atlanta, GA 30331-3712 | 2007-06-11 |
| Street Address |
4 INDUSTRIAL BLVD STE 155 |
| City | PAOLI |
| State | PA |
| Zip Code | 19301-1614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457782948 | Aligned Medical Group, PC | Chiropractor | 4 Industrial Blvd, Suite 200, Paoli, PA 19301-1602 | 2013-12-09 |
| 1700338506 | John Ryan | Physical Therapist | 4 Industrial Blvd, Suite 200, Paoli, PA 19301-1605 | 2016-10-27 |
| 1801277488 | Geraldine Fried | Nurse Practitioner | 4 Industrial Blvd, Suite 130, Paoli, PA 19301-1605 | 2015-06-09 |
| 1659770964 | Whcgpa Center for Breast Health | Radiology | 4 Industrial Blvd, Suite 130, Paoli, PA 19301-1605 | 2014-08-22 |
| 1790197606 | Urology Health Surgery Center, LLC | Clinic/Center | 4 Industrial Blvd, Suite 175, Paoli, PA 19301-1605 | 2014-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588280333 | Mary Callery | Physical Therapy Assistant | 16 Industrial Blvd., Ste. 101, Paoli, PA 19301 | 2020-06-17 |
| 1871097519 | Daniel Malloy-good | Social Worker | 45 Darby Rd Ste E4, Paoli, PA 19301 | 2018-03-19 |
| 1306354774 | Patricia Obilo-azandegbe | Counselor | 30 S Valley Rd Ste 101, Paoli, PA 19301 | 2018-01-18 |
| 1275992877 | Jessica Bernard | Physical Therapist | 40 Darby Rd Ste 1, Paoli, PA 19301 | 2016-02-11 |
| 1730576364 | Ushma Sheth | Podiatrist | 250 W Lancaster Ave Ste 225, Paoli, PA 19301 | 2015-04-21 |
| 1619371432 | Miriam Leslie Brewer | Physical Therapist | 195 W Lancaster Ave #3, Paoli, PA 19301 | 2014-10-22 |
| 1447665393 | Matthew Rementer | Podiatrist | 254 West Lancaster Ave, Paoli, PA 19301 | 2014-06-29 |
| 1720490915 | Edward Anthony Romero | Surgery | 255 W Lancaster Ave Ste 332, Paoli, PA 19301 | 2014-05-22 |
| 1285053421 | Jose Ethan Pulido | Urology | 2 Industrial Blvd Bldg C Ste 120, Paoli, PA 19301 | 2014-04-15 |
| 1093065849 | Kathleen M Canfield | Physician Assistant | 11 Industrial Blvd., Ste 204, Paoli Pointe Med. Office Bldg, Paoli, PA 19301 | 2012-09-19 |
| Find all providers in zip 19301 | ||||
| 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 |
|---|---|---|---|---|
| 1538457809 | Total Renal Care Inc | Clinic/Center | 555 W Longest St, Paoli, IN 47454 | 2011-07-20 |
| 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.