| Pennsylvania Kidney Care, P.c. | |
|
1500 Walnut St Ste 603 Philadelphia PA 19102-3516 | |
| (267) 754-8400 | |
| Not Available |
| Full Name | Pennsylvania Kidney Care, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1500 Walnut St Ste 603, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Allie Silver (VP, CENTRAL SERVICES) |
| Authorized Official Contact | 9804434852 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pennsylvania Kidney Care, P.c. 1125 17th St Ste 1000 Denver CO 80202-2043 Ph: (980) 443-4852 | Pennsylvania Kidney Care, P.c. 1500 Walnut St Ste 603 Philadelphia PA 19102-3516 Ph: (267) 754-8400 |
| NPI Number | 1477155638 |
|---|---|
| Provider Enumeration Date | 11/12/2020 |
| Last Update Date | 08/15/2025 |
| Medicare PECOS PAC ID | 9032524343 |
|---|---|
| Medicare Enrollment ID | O20210219000007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477155638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Larissa A Bower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952709982 PECOS PAC ID: 3577881150 Enrollment ID: I20150410000797 |
| Provider Name | Taylor C Junod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669836771 PECOS PAC ID: 5294024592 Enrollment ID: I20160510000374 |
| Provider Name | Victoria A Culp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639441991 PECOS PAC ID: 9436580768 Enrollment ID: I20200520002111 |
| Provider Name | Muhammad Sohaib |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1679972905 PECOS PAC ID: 3476861337 Enrollment ID: I20200819001909 |
| Provider Name | Matthew J Kerr |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659029585 PECOS PAC ID: 3476930371 Enrollment ID: I20220516000911 |
| Provider Name | Margaret A Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093843732 PECOS PAC ID: 3779552690 Enrollment ID: I20220713002440 |
| Provider Name | Amanda L Mcclanahan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821733544 PECOS PAC ID: 1951788801 Enrollment ID: I20230929001888 |
| Provider Name | Syed Akhtar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710211669 PECOS PAC ID: 1153562376 Enrollment ID: I20231214001355 |
| Provider Name | Farhad Modarai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497098610 PECOS PAC ID: 8224310289 Enrollment ID: I20240711000425 |
| Provider Name | Arielle K Ferdinand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700312899 PECOS PAC ID: 5799026100 Enrollment ID: I20250117001829 |
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