Dva Healthcare of Pennsylvania LLC

Primary specialty

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

Legal business name

DVA HEALTHCARE OF PENNSYLVANIA LLC

Practice address

4312 Penn Ave
Pittsburgh, PA 15224-1310

Phone

(412) 681-8556

Fax

(412) 681-8537

NPI assigned

Apr 5, 2006

Organization subpart

No

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

Authorized official

Name

John D Winstel

Title

Chief Accounting Officer

Phone

(253) 733-4500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pittsburgh Dialysis Doing business as

Member of 2

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

• Dva Healthcare of Pennsylvania LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Paris, PA
  • NPI 1457313231

  Member Of

  NPD member
• Dva Renal Healthcare Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Pageland, SC
  • NPI 1548222615

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1104888932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L & C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-341-6410",
            "fax_number": "888-662-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4312 PENN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152241310",
            "telephone_number": "412-681-8556",
            "fax_number": "412-681-8537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DVA HEALTHCARE OF PENNSYLVANIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "WINSTEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "253-733-4500"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007451930016",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pittsburgh Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pittsburgh Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sterling Mansfield Dutton III, DPT
• Michaela Rose Duttry, PHARMD
• Mackenzie Duval, PT, DPT
• Lisa Duvall-Dorazio
• Umamaheswar Duvvuri, M.D., PH.D.
• Dva Healthcare Renal Care Inc
• Marie Dvorakova, M.D.
• Anna Dvorchak, COTA/L
• Jenna Dvorsky, MD
• Alena Dvoryanchikova, CRNP

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pittsburgh, PA
• Providers in Pittsburgh, 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 2, 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.

Verify at the official NPI Registry.