Active NPI
Renex Dialysis Clinic of Pittsburgh, Inc.
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Pittsburgh, PA
National Provider Identifier
1023112802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- RENEX DIALYSIS CLINIC OF PITTSBURGH, INC.
- Practice address
- 4925 Baum Blvd
Pittsburgh, PA 15213-1308 - Phone
- (412) 687-2279
- NPI assigned
- Sep 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Fawcett
- Title
- Treasurer
- Phone
- (781) 402-9000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
4925 Baum Blvd
Pittsburgh, PA 15213-1308
Mailing address
4925 Baum Blvd
Pittsburgh, PA 15213-1308
Other names 1
- RCG PITTSBURGH
National Provider Directory
National Provider Directory- Tax ID family
- Ability Network
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Clairton, PA
- NPI 1114021995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1023112802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4925 BAUM BLVD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152131308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4925 BAUM BLVD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152131308",
"telephone_number": "412-687-2279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENEX DIALYSIS CLINIC OF PITTSBURGH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FAWCETT",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "781-402-9000"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "RCG PITTSBURGH",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.