PHYSICIANS DIALYSIS COMPANY INC. (NPI# 1396849170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396849170 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS DIALYSIS COMPANY INC. |
| Other Organization Name | RENAL CARE GROUP HERMITAGE |
| Practice Address |
2425 Garden Way Suite 102 Hermitage PA 16148-5215 |
| Practice Telephone | 7243470700 |
| Practice Fax Number | 7243470900 |
| Mailing Telephone | 7243470700 |
| Mailing Fax Number | 7243470900 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2011-11-16 |
| Authorized Official Name | MARK R FAWCETT (TREASURER) |
| Authorized Official Telephone | 7816999000 |
| 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 |
|---|---|
| RENAL CARE GROUP HERMITAGE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841305695 | Physicians Dialysis Company Inc. | Clinic/Center | 139 Javit Ct, Austintown, OH 44515-2410 | 2006-08-20 |
| 1831204692 | Physicians Dialysis Company Inc. | Clinic/Center | 257 Boardman Canfield Rd, Boardman, OH 44512-4806 | 2006-08-20 |
| Street Address |
2425 GARDEN WAY SUITE 102 |
| City | HERMITAGE |
| State | PA |
| Zip Code | 16148-5215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750364568 | Ravindra K Sachdeva | Surgery | 2425 Garden Way, Suite 101, Hermitage, PA 16148-5215 | 2005-11-25 |
| 1568950392 | Dolores Heckathorn | Dietitian, Registered | 2425 Garden Way, Hermitage, PA 16148-5215 | 2018-04-26 |
| 1366996209 | Jennifer Springborn | Dietitian, Registered | 2425 Garden Way, Suite 101, Hermitage, PA 16148-5215 | 2016-08-09 |
| 1972793792 | Cheryl A. Duffy, Md, Inc. | Clinical Medical Laboratory | 2425 Garden Way, Suite 101, Hermitage, PA 16148-5215 | 2007-07-27 |
| 1831210145 | James R. Gebhart, D.o., PC | Surgery | 2425 Garden Way, Suite 100b, Hermitage, PA 16148-5215 | 2007-04-03 |
| 1871576678 | Gene A Marcelli Jr. | Surgery | 2425 Garden Way, Suite 101, Hermitage, PA 16148-5215 | 2005-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571165 | Cassandra L Holder | Physical Therapist | 1559 N. Hermitage Rd, Hermitage, PA 16148 | 2020-09-01 |
| 1750927190 | Hermitage Endoscopy Center Inc | Clinic/Center | 949 N Hermitage Road, Hermitage, PA 16148 | 2019-11-20 |
| 1336791318 | Catlyn Marie Joseph | Pharmacist | 1851 East State St, Rite Aid Store #10995, Hermitage, PA 16148 | 2019-07-10 |
| 1386203107 | Kaitlyn Mostard-smith | Physical Therapist | 1599 N. Hermitage Rd., Hermitage, PA 16148 | 2019-06-06 |
| 1770001513 | Lee Ann Hougelman | Licensed Practical Nurse | 5454 E. State St., Hermitage, PA 16148 | 2017-08-31 |
| 1194245001 | Samantha C Kilar | Audiologist | 1623 Dutch Lane, Hermitage, PA 16148 | 2017-06-21 |
| 1538419197 | Sharon Lynn Taylor | Physician Assistant | 480 N Kerrwood Dr Ste 103, Hermitage, PA 16148 | 2012-09-11 |
| 1912289638 | Amanda Jo Kline | Physical Therapy Assistant | 260 S Buhl Farm Drive, Whispering Oaks Suite 326, Hermitage, PA 16148 | 2011-09-20 |
| 1447548573 | Robert Joseph Jackson | Licensed Practical Nurse | 5454 East State St, Hermitage, PA 16148 | 2011-07-11 |
| 1386974673 | Susan Dawn Mehallick | Specialist/Technologist | 1005 Campus Circle, Hermitage, PA 16148 | 2010-01-08 |
| Find all providers in zip 16148 | ||||
| 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 |
|---|---|---|---|---|
| 1609337161 | Dialysis Clinic Inc | Clinic/Center | 5653 Frist Blvd Ste 334, Hermitage, TN 37076-2064 | 2019-03-27 |
| 1356779920 | Fresenius Medical Care Youngstown, LLC | Clinic/Center | 3036 Innovation Way, Hermitage, PA 16148-7906 | 2013-10-17 |
| 1033142419 | Dialysis Clinic Inc. | Clinic/Center | 737 Brookshire Dr, Hermitage, PA 16148-4507 | 2006-07-08 |
| 1013970649 | Dva Renal Healthcare Inc | Clinic/Center | 5530 Old Hickory Blvd, Ste 18, Hermitage, TN 37076-2576 | 2006-04-06 |
| 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 | ||||
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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.