RENAL TREATMENT CENTERS - MID-ATLANTIC INC (NPI# 1922547470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922547470 |
| Entity Type | Organization |
| Organization Name | RENAL TREATMENT CENTERS - MID-ATLANTIC INC |
| Other Organization Name | PENN TRAFFORD DIALYSIS |
| Practice Address |
4044 Route 130 Ste 100 Irwin PA 15642-7808 |
| Mailing Address |
5200 Virginia Way L & C Dept Brentwood TN 37027-7569 |
| Practice Telephone | 7247440713 |
| Practice Fax Number | 7247445004 |
| Mailing Telephone | 6153416410 |
| Mailing Fax Number | 8886628259 |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2019-01-04 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFC & TREASURER) |
| Authorized Official Telephone | 2537334500 |
| 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 | 1034446020002 | 05 |
| Other Name | Type Code |
|---|---|
| Penn Trafford Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417599168 | Renal Treatment Centers - Mid-atlantic Inc | Clinic/Center | 8000c Derry St, Harrisburg, PA 17111-5200 | 2019-10-15 |
| 1518449784 | Renal Treatment Centers - Mid-atlantic Inc | Clinic/Center | 19980 Highland Vista Dr Ste 100, Ashburn, VA 20147-4189 | 2018-09-04 |
| 1871080465 | Renal Treatment Centers - Mid-atlantic Inc | Clinic/Center | 5360 Snapfinger Woods Dr Ste 102, Decatur, GA 30035-4046 | 2018-04-18 |
| 1902314719 | Renal Treatment Centers - Mid-atlantic Inc | Clinic/Center | 420 Napoleon Pl, Johnstown, PA 15901-2502 | 2018-01-15 |
| 1821058652 | Renal Treatment Centers - Mid-atlantic Inc | Clinic/Center | 4451 Parliament Pl, Ste R, Lanham, MD 20706-1872 | 2006-03-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | RENAL TREATMENT CENTERS - MID-ATLANTIC INC. | 2626 Glenwood Avenue Suite 550, Raleigh, NC 27608 |
| Virginia Business Entities | RENAL TREATMENT CENTERS - MID-ATLANTIC INC. | 2000 16th St, Jld/secgovfin, Denver, Colorado 80202-5117 |
| Street Address |
4044 ROUTE 130 STE 100 |
| City | IRWIN |
| State | PA |
| Zip Code | 15642-7808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356349849 | Katherine Patterson Neely | Family Medicine | 4044 Route 130, Irwin, PA 15642-7808 | 2005-07-08 |
| 1225468226 | Allegheny Clinic | Family Medicine | 4044 Route 130, Irwin, PA 15642-7808 | 2013-11-13 |
| 1730325580 | Julie Nelson | Family Medicine | 4044 Route 130, Ste 200, Irwin, PA 15642-7830 | 2008-12-29 |
| 1043351273 | Premier Medical Associates, P.C. | Non-Pharmacy Dispensing Site | 4044 Route 130, Suite 200, Irwin, PA 15642-7830 | 2007-02-09 |
| 1033272851 | Jan Marie Pesci | Physician Assistant | 4044 Route 130, Irwin, PA 15642-7808 | 2006-12-19 |
| 1689617912 | Robert A Crossey | Family Medicine | 4044 Route 130, Ste 200, Irwin, PA 15642-7830 | 2006-06-14 |
| 1396799045 | Steven L Romiti | Emergency Medicine | 4044 Route 130, Irwin, PA 15642-7808 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467929752 | Robert Michael Alexander | Pharmacist | 9161 Lucia Lane, North Huntingdon, PA 15642 | 2018-10-25 |
| 1730669987 | Jeffrey Bernard Grasmeder | Nurse Practitioner | Excela Health Penn Township Primary Care, 3520 Pa-130, Irwin, PA 15642 | 2018-08-17 |
| 1205353547 | Kristal Lynn Ross | Pharmacy | 939 Giovanni Lane, Irwin, PA 15642 | 2017-08-28 |
| 1194245860 | Continuhome Solutions, Inc. | Occupational Therapist | 7970 Route 30, North Huntingdon, PA 15642 | 2017-06-23 |
| 1972033587 | Scalise Chiropractic Pllc | Chiropractor | 12280 State Route 30, North Huntingdon, PA 15642 | 2017-06-15 |
| 1407399223 | The Homecare Company of America, Inc. | Home Health | 15071 Lincoln Highway, Rt.30 Unit A, North Huntingdon, PA 15642 | 2016-11-28 |
| 1316494909 | Glenn R Page | Pharmacist | 8731 State Route 30, North Huntingdon, PA 15642 | 2016-09-01 |
| 1952775686 | Upmc Community Medicine Inc | Non-Pharmacy Dispensing Site | 3520 State Route 130, Irwin, PA 15642 | 2015-11-18 |
| 1114395662 | Lorenzo Sellitto | Specialist/Technologist | 28 Janette Circle, Irwin, PA 15642 | 2015-09-14 |
| 1679960033 | Katelyn Marie Macik | Family Medicine | 4044 Route 130 Ste 200, Irwin, PA 15642 | 2015-04-22 |
| Find all providers in zip 15642 | ||||
| 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 |
| 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.