DVA HEALTHCARE RENAL CARE INC (NPI# 1578525648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578525648 |
| Entity Type | Organization |
| Organization Name | DVA HEALTHCARE RENAL CARE INC |
| Other Organization Name | WYNCOTE DIALYSIS |
| Practice Address |
1000 Easton Rd Ste 250 Wyncote PA 19095-2934 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 2158843398 |
| Practice Fax Number | 2158843424 |
| Mailing Telephone | 6153416410 |
| Mailing Fax Number | 8886628259 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2020-06-23 |
| 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 | 1007635580012 | 05 |
| Other Name | Type Code |
|---|---|
| Wyncote Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831690098 | Dva Healthcare Renal Care Inc | Clinic/Center | 3901 N Roxboro St Ste 108, Durham, NC 27704-2181 | 2018-02-23 |
| 1639695984 | Dva Healthcare Renal Care Inc | Clinic/Center | 209 Nc Highway 111 S, Goldsboro, NC 27534-9253 | 2017-08-18 |
| 1710351531 | Dva Healthcare Renal Care Inc | Clinic/Center | 101 Davita Ln, Elizabeth City, NC 27909-3314 | 2015-11-17 |
| 1851769848 | Dva Healthcare Renal Care Inc | Clinic/Center | 9622 Kincey Ave, Huntersville, NC 28078-9140 | 2015-09-08 |
| 1447643408 | Dva Healthcare Renal Care Inc | Clinic/Center | 1274 Ruin Creek Road, Henderson, NC 27537-4168 | 2015-03-13 |
| 1205116167 | Dva Healthcare Renal Care Inc | Clinic/Center | 11308 Hawthorne Dr, Mint Hill, NC 28227-9300 | 2011-08-24 |
| 1932363744 | Dva Healthcare Renal Care Inc | Clinic/Center | 7260 E Marshville Blvd, Marshville, NC 28103-1191 | 2008-07-11 |
| 1689868739 | Dva Healthcare Renal Care Inc | Clinic/Center | 6620 Old Statesville Rd, Charlotte, NC 28269-6768 | 2007-08-31 |
| 1700815487 | Dva Healthcare Renal Care Inc | Clinic/Center | 3053 State Route 35, Ste 201, Hazlet, NJ 07730-1526 | 2006-07-03 |
| 1508895632 | Dva Healthcare Renal Care Inc | Clinic/Center | 1164 E Route 130, Burlington, NJ 08016-2954 | 2006-07-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | DVA HEALTHCARE RENAL CARE INC. | 2000 16th St, Jld/Secgovfin, Denver, Colorado 80202-5117 |
| Street Address |
1000 EASTON RD STE 250 |
| City | WYNCOTE |
| State | PA |
| Zip Code | 19095-2934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235495995 | Century One Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1000 Easton Rd, Unit 2245, Wyncote, PA 19095-2918 | 2012-04-06 |
| 1548545908 | Veronica Antosh | Occupational Therapist | 1000 Easton Rd, Wyncote, PA 19095-2918 | 2011-10-18 |
| 1790063618 | Patricia Jenkins | Pharmacist | 1000 Easton Rd, Wyncote, PA 19095-2918 | 2011-07-26 |
| 1649411760 | George L. Rodriguez, M.d., P.C. | Internal Medicine | 1000 Easton Rd, Suite 290, Wyncote, PA 19095-2918 | 2009-03-19 |
| 1245497676 | Deslyn Mancini Md Inc | Obstetrics & Gynecology | 1000 Easton Rd, Ceadarbrook Plaza Ste 280, Wyncote, PA 19095-2918 | 2008-05-22 |
| 1396923587 | Lee B Hockfield | Pharmacist | 1000 Easton Rd, Suite 100, Wyncote, PA 19095-2918 | 2008-02-10 |
| 1285656736 | Mark Troyer | Physical Therapist | 1000 Easton Rd, Suite 207, Wyncote, PA 19095-2918 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891359519 | Rufus Ejimonyeugwo | Registered Nurse | 8470 Limekiln Pike, Building 2, Apt. 504, Wyncote, PA 19095 | 2019-04-29 |
| 1205244399 | Eric Vernon Paugh | Physical Therapist | 3201 West Cheltenham Ave., Wyncote, PA 19095 | 2014-08-01 |
| 1922443159 | Jigisha Mukeshkumar Ganatra | Physical Therapist | 8100 Washington Lane, Wyncote, PA 19095 | 2013-05-01 |
| 1174967491 | Rudrappa Pashupathi | Psychiatry & Neurology | 7930 Green Lane, Wyncote, PA 19095 | 2013-04-18 |
| 1144575853 | Wai Shing Yee | Physical Therapist | 3201 Cheltenham Avenue, Suite 207, Wyncote, PA 19095 | 2012-07-18 |
| 1265618631 | James Stephen Chung | Contractor | 8480 Limekiln Pike, Apt 606, Wyncote, PA 19095 | 2008-01-16 |
| 1871611376 | Paulette Susan Hakes | Speech-Language Pathologist | 1201 Church Rd., Wyncote, PA 19095 | 2007-03-26 |
| 1245264860 | Margaret Joyce Laudise | Nurse Practitioner | 414 East Waverly Rd, Wyncote, PA 19095 | 2006-07-10 |
| 1679523724 | Stephen H Margolis | Internal Medicine | 25 Washington Lane, Ste C22, Wyncote, PA 19095 | 2006-05-11 |
| 1184672735 | Cecilia Terese Guerin | Physical Therapist | 3201 Cheltenham Avenue, Suite 207, Wyncote, PA 19095 | 2006-05-05 |
| Find all providers in zip 19095 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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|---|---|---|---|---|
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| 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.