Renal Carepartners of St Marys LLC

Primary specialty

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

Legal business name

RENAL CAREPARTNERS OF ST MARYS LLC

Doing business as

U.S. Renal Care St. Mary's Dialysis

Practice address

753 Johnsonburg Road
St Marys, PA 15857-4842

Phone

(305) 512-0014

Fax

(800) 986-1260

NPI assigned

May 18, 2010

Organization subpart

Yes

Parent organization

U.S. RENAL CARE, INC.As reported in NPPES

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

Authorized official

Name

Thomas L. Weinberg

Title

Authorized Official

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• U.S. Renal Care St. Mary's Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Listed as

USRC St. MarysCCN 392765

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Oct 20, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Other

Dialysis stations

17

Part of

US Renal Care Inc

Member of 1

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

• Bayside Pharmacy Limited Partnership

  dba Bayside Pharmacy and Physician Supply

  • Community/Retail Pharmacy
  • Erie, PA
  • NPI 1548268022

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gwendolyn Rene Akers, D.O.

  • Nephrology Physician
  • Saint Marys, PA
  • NPI 1609035872
  NPD (past)

Affiliated clinicians 1

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

• Gwendolyn Rene Akers, D.O.

  • Nephrology Physician
  • Saint Marys, PA
  • NPI 1609035872

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1245559111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19119",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724036601",
            "telephone_number": "870-931-5400",
            "fax_number": "870-931-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 JOHNSONBURG ROAD",
            "city": "ST MARYS",
            "state": "PA",
            "postal_code": "158574842",
            "telephone_number": "305-512-0014",
            "fax_number": "800-986-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL CAREPARTNERS OF ST MARYS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2010-05-18",
        "last_updated": "2013-10-25",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "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": "1026012450001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care St. Mary's Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gina Pistner, MS. CCC-SLP
• John Radford, M.D.
• Casey L. Reed, M.S. SPEECH THERAPY
• Regional Ambulatory Surgery Center, LLC
• Angela Regulski, OTD OTR/L ATP
• Dennis W Rhoades, D.O.
• Rhode Island Medical Services, PC
• Richard W. Foust, Inc.
• Teresa A Richards, C.R.N.A.
• Nancy Barbara Rieder, MD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in St Marys, PA
• Providers in St Marys, 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 Oct 25, 2013; 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.