Physicians Dialysis of Lancaster LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

PHYSICIANS DIALYSIS OF LANCASTER LLC

Doing business as

PDL Annex PD

Practice address

2110 Harrisburg Pike
Suite 310
Lancaster, PA 17601-2644

Phone

(717) 544-3232

Fax

(717) 544-3236

NPI assigned

Jun 26, 2007

Last updated

Mar 27, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thomas O Usilton Jr.

Title

Sr Vice President

Phone

(770) 541-7922

Specialties & licenses 1

Addresses

Other names 1

• PDL Annex PD Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1013113950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "STE 400 L & C",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "37027",
            "telephone_number": "615-320-4218",
            "fax_number": "303-209-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 HARRISBURG PIKE",
            "address_2": "SUITE 310",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-544-3232",
            "fax_number": "717-544-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS DIALYSIS OF LANCASTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "USILTON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "SR VICE PRESIDENT",
        "authorized_official_telephone_number": "770-541-7922",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PDL Annex PD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Spencer D Phillips, MD
• Phoenix Rehabilitation and Health Services, Inc
• PHS Physical Therapy, LLC (Select Physical Therapy)
• Tiffany Phuong, OD
• Physician Specialists of Northern Lancaster County (WellSpan Cardiology)
• Physicians Dialysis of Lancaster LLC (Manheim Pike Dialysis)
• Physicians Dialysis of Lancaster LLC (PDI Lancaster)
• Physicians Dialysis of Lancaster LLC (Suburban Campus Dialysis)
• Physicians Vein Clinics of Pennsylvania PLLC (Vein Center of Lancaster)
• Physicians' Alliance LTD (Lancaster Hematology Oncology Care)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lancaster, PA
• Providers in Lancaster, PA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.