North Central Pennsylvania Dialysis Clinics-Lewisburg LLC

Primary specialty

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

Legal business name

NORTH CENTRAL PENNSYLVANIA DIALYSIS CLINICS-LEWISBURG LLC

Practice address

135 JPM Rd
Lewisburg, PA 17837-9313

Phone

(570) 768-4660

Fax

(570) 768-4662

NPI assigned

Mar 12, 2010

Last updated

Mar 4, 2015By 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

Chester Amedia Jr., M.D.NPI 1952306995

Title

President

Phone

(330) 781-6212

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Listed as

NCPDC LewisburgCCN 392763

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Sep 17, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Chain

North Central Pennsylvania Dialysis Clinics

Dialysis stations

15

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• North Central Pennsylvania Dialysis Clinics LLC

  dba Lock Haven Dialysis Clinic

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lock Haven, PA
  • NPI 1295730505

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chester A. Amedia, MD

  • Nephrology Physician
  • Boardman, OH
  • NPI 1952306995
  NPD Authorized official

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jason Christopher George

  • Nephrology Physician
  • Danville, PA
  • NPI 1578803698

  Dialysis facility

  Care Compare affiliation Name & address match
• Sam Stea

  • Nephrology Physician
  • Montoursville, PA
  • NPI 1053396994

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1083937494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4822 MARKET ST",
            "address_2": "SUITE 100",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445122122",
            "telephone_number": "330-781-6212",
            "fax_number": "330-953-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 JPM RD",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379313",
            "telephone_number": "570-768-4660",
            "fax_number": "570-768-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CENTRAL PENNSYLVANIA DIALYSIS CLINICS-LEWISBURG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-12",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "AMEDIA",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-781-6212",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy K Nicholas, LSW
• Karen Byerly Nicholson
• Jay Marlin Nissley, M.D.
• Brendon R. Nolt, M.D.
• Ernest Y. Normington III, M.D.
• Sharon A Novack, CRNA
• Brian Nungesser
• Mary Beth Ann O'Hara, DO
• Krysta Joy Michael O'Neill, D.C.
• Christina E O'Rourke, LDN

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lewisburg, PA
• Providers in Lewisburg, 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 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.