ANGELA DARIA SEDLACKO


Address: Fmc Medical Services of Greensburg Ckd Services, 562 Shearer St., Greensburg, PA 15601
Phone: 7248328061

ANGELA DARIA SEDLACKO (NPI# 1841245198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841245198
Entity Type Individual
Full Name ANGELA DARIA SEDLACKO
Credential RD, LDN
Practice Address Fmc Medical Services of Greensburg Ckd Services
562 Shearer St.
Greensburg
PA 15601
Mailing Address 1111 Post Dr
Latrobe
PA 15650-2653
Practice Telephone 7248328061
Practice Fax Number 7248329311
Mailing Telephone 7248328061
Mailing Fax Number 7248329311
Enumeration Date 2006-05-24
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1005X Dietitian, Registered
Specialization: Nutrition, Renal
DN002175 PA Dietary & Nutritional Service Providers

Office Location

Street Address FMC MEDICAL SERVICES OF GREENSBURG CKD SERVICES
562 SHEARER ST.
City GREENSBURG
State PA
Zip Code 15601

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1801348826 Flow Spine & Sport LLC Chiropractor 123 Donohoe Drive, Greensburg, PA 15601 2016-10-25
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Taxonomy Information

Taxonomy Code 133VN1005X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Renal

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689821548 Christine Mohan Dietitian, Registered 562 Shearer St, G100, Greensburg, PA 15601-2746 2008-08-22
1104976489 Donna M Scarlett Dietitian, Registered 562 Shearer St, Ckd Services of Greensburg, Greensburg, PA 15601-2746 2007-01-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1508171802 Leanne Kinzler Dietitian, Registered 1208 Oakwood Drive, Jeffeson Hills, PA 15025 2010-08-11
1720303696 Kate Louise Seymour Dietitian, Registered 806 Goucher St, Johnstown, PA 15905-2941 2010-04-02
1972712537 Ruth Ellen Kruk Dietitian, Registered 101 Nathan Dr, Monaca, PA 15061-2547 2007-05-21
1588722490 Cheryl Disch Lewis Dietitian, Registered 1130 Highway 315 Ste B, Wilkes Barre, PA 18702-6952 2006-12-04
1235142167 Emily Kathleen Ferrare Dietitian, Registered 649 E 37th St, Erie, PA 16504-1725 2006-08-14
1639142250 Jessica A. Ingram Dietitian, Registered 1 Penn Blvd., Suite 2240, Philadelphia, PA 19144 2006-02-13
1134613920 Amy Lynn Messick Dietitian, Registered 1 Medical Center Blvd, Chester, PA 19013-3902 2018-06-15
1750730156 Brittany Dorothy Lucchetto Dietitian, Registered 3400 Spruce St, Philadelphia, PA 19104-4238 2016-06-07
1285059022 Tiffany A Donahue Dietitian, Registered 3400 Civic Center Blvd, Pcam 1 South, Suite 1-300s, Philadelphia, PA 19104-5127 2014-03-04
1518382340 Wanda K Rooney Dietitian, Registered 3400 Spruce St, 19 Penn Tower, Philadelphia, PA 19104-4238 2014-03-04
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Competitor

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City GREENSBURG
Zip Code 15601

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Dataset Information

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.

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