Aguavivir SC PC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

AGUAVIVIR SC PC

Doing business as

Healix Infusion Care

Practice address

550 E College Ave
State College, PA 16801-5518

Phone

(814) 753-4265

NPI assigned

May 10, 2022

Last updated

May 6, 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

Britton Pim

Title

Ceo

Phone

(281) 295-4000

Specialties & licenses 1

Addresses

Other names 1

• Healix Infusion Care Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 6

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.

• David Blinn

  • Internal Medicine Physician
  • Bellevue, PA
  • NPI 1124091871
  Medicare reassignment NPD
• Piper Cullen

  • Family Nurse Practitioner
  • Pittsburgh, PA
  • NPI 1689237604
  Medicare reassignment NPD
• Ashley McManigal, FNP

  • Nurse Practitioner
  • Tyrone, PA
  • NPI 1922797174
  Medicare reassignment NPD
• Brett Scharf

  • Family Medicine Physician
  • Altoona, PA
  • NPI 1902876634
  Medicare reassignment NPD
• Ashley E Wagner, CRNP

  • Family Nurse Practitioner
  • State College, PA
  • NPI 1962844985
  Medicare reassignment NPD
• Amanda Linn Paradiso, PA-C

  • Physician Assistant
  • Orange, CT
  • NPI 1154665545
  NPD

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1659017986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843125",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641801083",
            "telephone_number": "814-753-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E COLLEGE AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168015518",
            "telephone_number": "814-753-4265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 Market Ln",
            "address_purpose": "LOCATION",
            "city": "Wexford",
            "state": "PA",
            "postal_code": "150905602",
            "country_code": "US",
            "telephone_number": "724-719-6155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6014 Penn Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152063923",
            "country_code": "US",
            "telephone_number": "814-933-8528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AGUAVIVIR SC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2024-05-06",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "PIM",
        "authorized_official_first_name": "BRITTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-295-4000"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healix Infusion Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Healix Infusion Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Advanced Chiropractic of State College
• Advanced Orthopedics Center
• Advanced Urgent Care PC
• Advanced Wound Care Corporation
• Rebecca Agnew, LCSW
• Wasiq Mateen Ahmad, MD
• Arash Ahmadi
• Aderonke Ajala, MD
• Olufunmilola Akinyemi, DMD
• Cara M Albarano, CRNA

• Multi-Specialty Clinic/Center in State College, PA
• Providers in State College, PA by specialty
• Multi-Specialty Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.