WASHINGTON DIALYSIS CLINIC, INC. NPI 1023294469

Internal Medicine (Nephrology) in Washington, PA

NPI 1023294469 Organization Internal Medicine Nephrology

About WASHINGTON DIALYSIS CLINIC, INC.

Washington Dialysis Clinic, Inc. is an internal medicine provider established in Washington, Pennsylvania specializing in internal medicine (nephrology) . The NPI number of Washington Dialysis Clinic, Inc. is 1023294469 and was assigned on January 2008. The practitioner's primary taxonomy code is 207RN0300X with license number MD035880L (PA). The provider is registered as an organization and their NPI record was last updated 13 years ago. Washington Dialysis Clinic, Inc. operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Subramoniam Jayakumar Md (Owner, C.e.o)

An internist like Washington Dialysis Clinic, Inc. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

NPI

1023294469

Provider NameWASHINGTON DIALYSIS CLINIC, INC.
Provider Location Address764 LOCUST AVE WASHINGTON, PA 15301
Provider Mailing Address764 LOCUST AVE WASHINGTON, PA 15301
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date01-16-2008
Last Update Date02-15-2008


Primary Taxonomy

Taxonomy Code207RN0300X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationNephrology
License No.MD035880L
License StatePA
Taxonomy DescriptionAn internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Business Address

WASHINGTON DIALYSIS CLINIC, INC.
764 LOCUST AVE
WASHINGTON, PA
ZIP 15301
Phone: (724) 229-7377
Fax: (724) 228-1513

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Mailing Address

WASHINGTON DIALYSIS CLINIC, INC.
764 LOCUST AVE
WASHINGTON, PA
ZIP 15301
Phone: (724) 229-7377
Fax: (724) 228-1513



Authorized Official

Authorized Official NameDR. SUBRAMONIAM JAYAKUMAR MD
Authorized Official TitleOWNER, C.E.O
Authorized Official Phone(724) 229-7377

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
MD035880LOTHER (01)PA
392692MEDICARE OSCAR/CERTIFICATION (06)
392692MEDICARE PIN (08)PA
AJ2005747OTHER (01)PA
127527MEDICAID (05)PA

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1326037979DR. SUBRAMONIAM JAYAKUMAR MD
Individual
Internal Medicine (Nephrology)764 LOCUST AVE
WASHINGTON, PA 15301
(724) 228-1303
1407946510DR. SHIRLEY JAYAKUMAR DOPSON D.O.
Individual
Internal Medicine (Nephrology)764 LOCUST AVE
WASHINGTON, PA 15301
(724) 228-1303
1376082883WHS NEPHROLOGY
Organization
Internal Medicine (Nephrology)764 LOCUST AVE
WASHINGTON, PA 15301
(724) 228-1303
1922461052 MATTHEW MAGDIC NP
Individual
Nurse Practitioner (Family)764 LOCUST AVE
WASHINGTON, PA 15301
(723) 228-1303
1609804210SOUTHWESTERN NEPHROLOGY INC
Organization
Internal Medicine (Nephrology)764 LOCUST AVE
WASHINGTON, PA 15301
(724) 228-1303
1508170937TOTAL RENAL CARE INC
Organization
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)764 LOCUST AVE
WASHINGTON, PA 15301
(724) 229-7377

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.