Physicians Dialysis Company Inc.

Primary specialty

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

Legal business name

PHYSICIANS DIALYSIS COMPANY INC.

Doing business as

Renal Care Group Hermitage

Practice address

2425 Garden Way
Suite 102
Hermitage, PA 16148-5215

Phone

(724) 347-0700

Fax

(724) 347-0900

NPI assigned

Sep 12, 2006

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Mark R Fawcett

Title

Treasurer

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other names 1

• RENAL CARE GROUP HERMITAGE Doing business as

Locations

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1396849170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 GARDEN WAY",
            "address_2": "SUITE 102",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161485215",
            "telephone_number": "724-347-0700",
            "fax_number": "724-347-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 GARDEN WAY",
            "address_2": "SUITE 102",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161485215",
            "telephone_number": "724-347-0700",
            "fax_number": "724-347-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS DIALYSIS COMPANY INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2006-09-12",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RENAL CARE GROUP HERMITAGE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristen Jeanelle Peterson, PT
• Dean Petrucci
• Corrine Barton Pfaff, AU.D.
• Hannah K Phillips
• Lisa A Phillips, PHD
• Regina Leigh Piccirilli
• Kathy Marie Piston, D.O.
• Robert Walter Piston, M.D.
• Sondra Erlene Pokea, OTR/L
• David Polisano

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Hermitage, PA
• Providers in Hermitage, 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 Nov 16, 2011; 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.