PHYSICIANS DIALYSIS OF LANCASTER LLC (NPI# 1629030432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629030432 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS DIALYSIS OF LANCASTER LLC |
| Other Organization Name | PDI LANCASTER |
| Practice Address |
1412 E King St Lancaster PA 17602-3240 |
| Mailing Address |
5200 Virginia Way L & C Dept Brentwood TN 37027-7569 |
| Practice Telephone | 7173921552 |
| Practice Fax Number | 7173924413 |
| Mailing Telephone | 6153416410 |
| Mailing Fax Number | 8886628259 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2020-10-08 |
| 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 | 100737549 0008 | 05 |
| Other Name | Type Code |
|---|---|
| PDI Lancaster | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124388541 | Physicians Dialysis of Lancaster LLC | Clinic/Center | 1650 Manheim Pike, Lancaster, PA 17601-3056 | 2012-05-18 |
| 1508828302 | Physicians Dialysis of Lancaster LLC | Clinic/Center | 67 W Church St, Stevens, PA 17578-9203 | 2006-04-05 |
| 1790319887 | Physicians Dialysis of Lancaster LLC | Clinic/Center | 226 Willow Valley Lakes Dr, Willow Street, PA 17584-9665 | 2020-02-27 |
| 1811257108 | Physicians Dialysis of Lancaster LLC | Clinic/Center | 2100 Harrisburg Pike, Fl 3, Lancaster, PA 17601-2644 | 2012-05-21 |
| 1013113950 | Physicians Dialysis of Lancaster LLC | Clinic/Center | 2110 Harrisburg Pike, Suite 310, Lancaster, PA 17601-2644 | 2007-06-26 |
| Street Address |
1412 E KING ST |
| City | LANCASTER |
| State | PA |
| Zip Code | 17602-3240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313173 | Taylor Giambrone | Registered Nurse | Lgh Nurse Family Partnership, 555 North Duke Street, Lancaster, PA 17602 | 2020-10-12 |
| 1982268843 | Blanche Nichole Breznak | Pharmacist | 201 East Chestnut St, Lancaster, PA 17602 | 2019-04-25 |
| 1285104851 | Stephanie Benedict | Pharmacist | 1603 Lincoln Highway East, Lancaster, PA 17602 | 2018-11-27 |
| 1043709835 | Deborah J Campos-bard, Lmt | Massage Therapist | 439 N. Duke St. 2nd Fl., 2, Lancaster, PA 17602 | 2018-05-07 |
| 1861989493 | Functional Freedom LLC | Occupational Therapist | 105 Heritage Rd., Lancaster, PA 17602 | 2018-04-19 |
| 1083094577 | Gracie Berry | Counselor | 413 Church St, Lancaster, PA 17602 | 2015-06-01 |
| 1366835597 | Holcomb Associates, Inc. | Community/Behavioral Health | 800 New Holland Avenue, Lancaster, PA 17602 | 2015-03-12 |
| 1205236965 | Maria Taylor | Physician Assistant | 555 N Duke Street, Lghp Hospitalists, Lancaster, PA 17602 | 2014-09-01 |
| 1114355104 | Charles Eugene Stream | Physician Assistant | 133 East Fredeick Street, Lancaster, PA 17602 | 2013-10-29 |
| 1710221668 | Kourtney Randsdorp | Occupational Therapist | 105 Heritage Rd, Lancaster, PA 17602 | 2012-11-15 |
| Find all providers in zip 17602 | ||||
| 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 |
|---|---|---|---|---|
| 1124388541 | Physicians Dialysis of Lancaster LLC | Clinic/Center | 1650 Manheim Pike, Lancaster, PA 17601-3056 | 2012-05-18 |
| 1770609711 | Antelope Valley Kidney Institute, A Professional Corporation | Clinic/Center | 43932 15th St Reet West, Suite 103, Lancaster, CA 93534-5207 | 2007-03-21 |
| 1730285818 | Antelope Valley Dialysis Center Medical Group, Inc | Clinic/Center | 1759 W Avenue J # 102, Lancaster, CA 93534-2703 | 2006-09-15 |
| 1407968209 | Bio-medical Applications of California, Inc. | Clinic/Center | 44950 Valley Central Way Ste 108-109, Lancaster, CA 93536-7209 | 2006-08-31 |
| 1013959683 | Lancaster Dialysis LLC | Clinic/Center | 3250 W Pleasant Run Rd, Ste 280, Lancaster, TX 75146-1067 | 2006-06-11 |
| 1760445548 | Total Renal Care Texas Limited Partnership | Clinic/Center | 2424 W Pleasant Run Rd, Lancaster, TX 75146-4005 | 2006-04-11 |
| 1578525614 | Dva Healthcare Renal Care Inc | Clinic/Center | 1100 West Meeting St, Lancaster, SC 29720-2251 | 2006-04-04 |
| 1548671522 | Regional Dialysis Center of Lancaster LLC | Clinic/Center | 2500 W Pleasant Run Rd, Suite 100, Lancaster, TX 75146-1170 | 2014-05-13 |
| 1811257108 | Physicians Dialysis of Lancaster LLC | Clinic/Center | 2100 Harrisburg Pike, Fl 3, Lancaster, PA 17601-2644 | 2012-05-21 |
| 1972752236 | Fresenius Medical Care Lancaster Nephrology Investments LLC | Clinic/Center | 1550 Sheridan Dr, Suite 206, Lancaster, OH 43130-1381 | 2008-09-11 |
| Find all providers in LANCASTER | ||||
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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.