NPIMap

Organization Active NPI

Associates in Nephrology PC

Doing business as The Regional Kidney Disease Center

  • Nephrology Physician
  • Erie, PA
National Provider Identifier
1568419448
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
ASSOCIATES IN NEPHROLOGY PC
Doing business as
The Regional Kidney Disease Center
Practice address
311 W 24TH St
Suite 402
Erie, PA 16502-2665
Phone
(814) 453-6687
Fax
(814) 456-4676
NPI assigned
May 27, 2006
Last updated
Jul 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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

Authorized official

Name
Mrs. Agnes M Danowski
Title
Business Manager
Phone
(814) 453-6687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

311 W 24TH St
Suite 402
Erie, PA 16502-2665

Mailing address

311 W 24TH St
Suite 402
Erie, PA 16502-2665
Phone (814) 453-6687

Other identifiers 2

IdentifierTypeStateIssuer
0008388340005MedicaidPA
094261OtherPAHIGHMARK BS

Other names 1

  • The Regional Kidney Disease Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040428000983 PA Part B Supplier - Clinic/Group Practice 2062409337 Receives reassigned benefits from 8 practitioners
Practice locations: Erie, PA; Warren, PA

National Provider Directory

National Provider Directory

Locations

311 W 24th St
Ste 402
Erie, PA 16502
Phone (814) 453-6687

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DAJBAA

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1568419448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W 24TH ST",
            "address_2": "SUITE 402",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022665",
            "telephone_number": "814-453-6687",
            "fax_number": "814-456-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W 24TH ST",
            "address_2": "SUITE 402",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022665",
            "telephone_number": "814-453-6687",
            "fax_number": "814-456-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN NEPHROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "DANOWSKI",
        "authorized_official_first_name": "AGNES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "814-453-6687",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008388340005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "094261",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Regional Kidney Disease Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.