Active NPI
Renal Care of Erie, LLC
- Clinic/Center
- Erie, PA
National Provider Identifier
1528052883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- RENAL CARE OF ERIE, LLC
- Practice address
- 1641 Sassafras St
Erie, PA 16502-1858 - Phone
- (814) 455-6455
- Fax
- (814) 456-1188
- NPI assigned
- Sep 1, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Patti A. Rojas
- Title
- Billing Specialist
- Phone
- (814) 461-1328
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
1641 Sassafras St
Erie, PA 16502-1858
Mailing address
1641 Sassafras St
Erie, PA 16502-1858
Phone (814) 461-1328
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1812510 | Medicaid | PA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Erie, PA
- NPI 1205835741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211328000000",
"number": "1528052883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1641 SASSAFRAS ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165021858",
"telephone_number": "814-461-1328",
"fax_number": "814-461-1851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1641 SASSAFRAS ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165021858",
"telephone_number": "814-455-6455",
"fax_number": "814-456-1188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENAL CARE OF ERIE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-01",
"last_updated": "2008-05-21",
"status": "A",
"authorized_official_last_name": "ROJAS",
"authorized_official_first_name": "PATTI",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "BILLING SPECIALIST",
"authorized_official_telephone_number": "814-461-1328",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1812510",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.