ELKONSON DIALYSIS LLC (NPI# 1336774181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336774181 |
| Entity Type | Organization |
| Organization Name | ELKONSON DIALYSIS LLC |
| Practice Address |
350 Tri County Ln Rostraver Township PA 15012-1990 |
| Mailing Address |
5200 Virginia Way Brentwood TN 37027-7569 |
| Practice Telephone | 7247979163 |
| Practice Fax Number | 7247979172 |
| Mailing Telephone | 6153204286 |
| Mailing Fax Number | 8665942893 |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2020-03-11 |
| Authorized Official Name | JOHN WINSTEL (CHIEF ACCOUNTING OFFICER) |
| 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 |
|---|---|
| Belle Vernon Dialysis | Doing Business As Name - Organization |
| Street Address |
350 TRI COUNTY LN |
| City | ROSTRAVER TOWNSHIP |
| State | PA |
| Zip Code | 15012-1990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023664174 | Karen A Perry | Technician | 209 Pleasant Valley Blvd, Rostraver Twp, PA 15012 | 2019-08-14 |
| 1033520226 | Shane Patrick Hennessy | Family Medicine | 800 Plaza Dr Ste 400, Belle Vernon, PA 15012 | 2014-05-11 |
| 1427393008 | Kim Pierce | Dietitian, Registered | 810 Morgan St, Belle Vernon, PA 15012 | 2012-12-07 |
| 1639487671 | Kara M Haupricht | Physician Assistant | 860 Rostraver Road, Belle Vernon, PA 15012 | 2010-09-23 |
| 1538398755 | Spencer Miller | Hearing Instrument Specialist | 29 Fayette Street, Belle Vernon, PA 15012 | 2009-07-09 |
| 1972760957 | Mark Current | Pharmacist | 843 Rostraver Rd, Rite Aid #10891, Belle Vernon, PA 15012 | 2008-05-19 |
| 1568683134 | Donald Edward Rowe | Chiropractor | 139 Valley View Drive, Belle Vernon, PA 15012 | 2007-05-01 |
| 1023234127 | John A Marino | Chiropractor | 1112 Fells Church Road, Belle Vernon, PA 15012 | 2007-04-17 |
| 1164548020 | Mark G Boles | Pediatrics | 1112 Fells Church Rd, Belle Vernon, PA 15012 | 2007-03-22 |
| 1861516635 | Julie Myers | Specialist | 800 Willow Drive, Ste 100, Willowpointe Plaza, Belle Vernon, PA 15012 | 2007-03-19 |
| Find all providers in zip 15012 | ||||
| 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 |
| 1417599168 | Renal Treatment Centers - Mid-atlantic Inc | Clinic/Center | 8000c Derry St, Harrisburg, PA 17111-5200 | 2019-10-15 |
| 1588214498 | Dialysis Care Center Lebanon LLC | Clinic/Center | 550 Isabel Dr Ste 1, Lebanon, PA 17042-7205 | 2019-09-13 |
| Find all providers with the same taxonomy | ||||
| City | ROSTRAVER TOWNSHIP |
| Zip Code | 15012 |
Please comment or provide details below to improve the information on ELKONSON 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.