Renal Care of White Oak, LLC

Primary specialty

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

Legal business name

RENAL CARE OF WHITE OAK, LLC

Practice address

1303 Lincoln Way
Suite a
White Oak, PA 15131-1603

Phone

(412) 673-1191

Fax

(412) 678-1746

NPI assigned

Feb 22, 2006

Organization subpart

No

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

Authorized official

Name

Sandra D. Flood

Title

Coo

Phone

(305) 534-5102

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1306811393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 LINCOLN RD",
            "address_2": "SUITE 700",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393020",
            "telephone_number": "305-534-5102",
            "fax_number": "305-673-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 LINCOLN WAY",
            "address_2": "SUITE A",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "151311603",
            "telephone_number": "412-673-1191",
            "fax_number": "412-678-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL CARE OF WHITE OAK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "FLOOD",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "305-534-5102"
    },
    "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": "1014279800001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly L Puckett, D.C.
• Farial Rawji, M.D
• Hashim Raza, MD
• Erica Warren Reed, DDS, MS
• Renal and Hypertension Consultants LLC
• Amy Repko
• Jack Paul Rodriguez, LICENSED MASSAGE THE
• Matthew Ruskay
• Elizabeth Sarraf, LPC
• Paul R. Schulhof, D.D.S.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in White Oak, PA
• Providers in White Oak, 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 May 30, 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.