Elkonson Dialysis LLC

Primary specialty

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

Legal business name

ELKONSON DIALYSIS LLC

Doing business as

Belle Vernon Dialysis

Practice address

350 Tri County LN
Rostraver Township, PA 15012-1990

Phone

(724) 797-9163

Fax

(724) 797-9172

NPI assigned

Mar 11, 2020

Last updated

Jan 11, 2024By 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

Samuel Wey

Title

VP Licensure & Certification

Phone

(615) 341-6691

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Belle Vernon Dialysis Doing business as

Member of 1

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

• Total Renal Care Inc

  dba Rose Point Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Wasco, CA
  • NPI 1871007617

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1336774181",
    "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": "350 TRI COUNTY LN",
            "city": "ROSTRAVER TOWNSHIP",
            "state": "PA",
            "postal_code": "150121990",
            "telephone_number": "724-797-9163",
            "fax_number": "724-797-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKONSON DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "VP LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6691"
    },
    "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": "103863430",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Belle Vernon Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Belle Vernon Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leah Daniels
• David R Marchewka Pharmd (Mon Valley Pharmacy and Compounding)
• Lauren Alexandra Davis, CRNP
• Malerie Dolton, PHARMD
• Edward L Barron Jr DMD PC
• Jorden Leigh Eutsey, PA-C
• Sarah Marie Foster
• Aubree Ann Gauden, CRNP
• Mark Gindlesperger
• Britany Gnus, FNP-BC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Rostraver Township, PA
• Providers in Rostraver Township, 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 Jan 11, 2024; 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.