Provider Demographics
NPI:1588918775
Name:TRANSCEND HEALTH
Entity type:Organization
Organization Name:TRANSCEND HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAGO
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:267-540-3204
Mailing Address - Street 1:933 RADCLIFFE ST
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:PA
Mailing Address - Zip Code:19007-5227
Mailing Address - Country:US
Mailing Address - Phone:267-540-3204
Mailing Address - Fax:
Practice Address - Street 1:205 RADCLIFFE ST
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:PA
Practice Address - Zip Code:19007-5017
Practice Address - Country:US
Practice Address - Phone:267-540-3204
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-09
Last Update Date:2012-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN004824133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA244814OtherMEDICARE PTAN