DVA HEALTHCARE OF MARYLAND LLC (NPI# 1144280736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144280736 |
| Entity Type | Organization |
| Organization Name | DVA HEALTHCARE OF MARYLAND LLC |
| Other Organization Name | DUNDALK DIALYSIS |
| Practice Address |
14 Commerce St Dundalk MD 21222-4307 |
| Mailing Address |
5200 Virginia Way L&c Department Brentwood TN 37027-7569 |
| Practice Telephone | 4102849000 |
| Practice Fax Number | 4102845584 |
| Mailing Telephone | 6153204214 |
| Mailing Fax Number | 8669443352 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2019-06-18 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
E2616 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 800702100 | 05 |
| Other Name | Type Code |
|---|---|
| Dundalk Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154381663 | Dva Healthcare of Maryland LLC | Clinic/Center | 1 Nashua Ct, Ste E, Baltimore, MD 21221-3131 | 2006-03-27 |
| 1629038252 | Dva Healthcare of Maryland LLC | Clinic/Center | 8040 Georgia Ave, Suite 150, Silver Spring, MD 20910-4959 | 2006-03-27 |
| 1427018944 | Dva Healthcare of Maryland LLC | Clinic/Center | 1423 Clarkview Rd, Suite 500, Baltimore, MD 21209-2134 | 2006-03-27 |
| 1164482089 | Dva Healthcare of Maryland LLC | Clinic/Center | 22 S Howard St, Baltimore, MD 21201-2505 | 2006-03-24 |
| 1518927391 | Dva Healthcare of Maryland LLC | Clinic/Center | 8037 Gov Ritchie Hwy, Ste A, Pasadena, MD 21122-7121 | 2006-03-24 |
| 1568422459 | Dva Healthcare of Maryland LLC | Clinic/Center | 10401 Hospital Dr Ste G2, Clinton, MD 20735-3113 | 2006-03-24 |
| 1023077328 | Dva Healthcare of Maryland LLC | Clinic/Center | 920 E 25th St, Baltimore, MD 21218-5503 | 2006-03-23 |
| 1760442925 | Dva Healthcare of Maryland LLC | Clinic/Center | 2225 Old Emmorton Rd, Ste 105, Bel Air, MD 21015-6129 | 2006-03-23 |
| 1023078466 | Dva Healthcare of Maryland LLC | Clinic/Center | 140 Thomas Johnson Dr, Ste100, Frederick, MD 21702-4475 | 2006-03-27 |
| Street Address |
14 COMMERCE ST |
| City | DUNDALK |
| State | MD |
| Zip Code | 21222-4307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634534 | Progressive Multi Medical Services Inc | Nurse Practitioner | 7704 Trappe Road, Dundalk, MD 21222 | 2020-03-14 |
| 1881240802 | Waleed Mazhar Khan | Pharmacist | 29-31 Sipping Pl, Baltimore, MD 21222 | 2019-08-15 |
| 1043773724 | Agnes Kavari | Occupational Therapy Assistant | 7232 German Hill Road, Heritage Center, Baltimore, MD 21222 | 2019-04-10 |
| 1609335702 | Addiction Treatment of Maryland | Substance Abuse Rehabilitation Facility | 19 Center Place, 1st Floor, Baltimore, MD 21222 | 2019-03-18 |
| 1558833368 | Millennium Residential Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1709 Holaview Road, Dundalk, MD 21222 | 2018-12-19 |
| 1639691447 | Tenicia S Washington | Nurse Practitioner | 1709 Holaview Rd, Dundalk, MD 21222 | 2017-07-13 |
| 1548708126 | Kevin Anthony Mason | Counselor | 7827 Wise Avenue, Dundalk Counseling Center, Baltimore, MD 21222 | 2017-02-03 |
| 1023569266 | Rachel Renee Barbarino | Physician Assistant | 1934 Ewald Ave, Baltimore, MD 21222 | 2016-10-24 |
| 1023562576 | Bd Health Services, Inc | Counselor | 3955 North Point Rd., Dundalk, MD 21222 | 2016-08-12 |
| 1205287596 | Dundalk Health Services, Inc. | Counselor | 6706 Holabird Ave, Baltimore, MD 21222 | 2016-06-28 |
| Find all providers in zip 21222 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134580152 | Baltimore County Dialysis, LLC | Clinic/Center | 1732 Merritt Blvd, Dundalk, MD 21222-3212 | 2016-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023648284 | Fresenius Medical Care Bowie, LLC | Clinic/Center | 16300 Heritage Blvd, Bowie, MD 20716-3106 | 2020-01-16 |
| 1710547344 | Fresenius Medical Care Fairmount Heights, LLC | Clinic/Center | 6301 Walker Mill Rd, District Heights, MD 83070 | 2019-06-17 |
| 1740840503 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 163 Jennifer Rd Ste A, Annapolis, MD 21401-3043 | 2019-06-14 |
| 1538725965 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 3000 N Ridge Rd Ste A, Ellicott City, MD 21043-3311 | 2019-05-10 |
| 1851957286 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 3419 Plumtree Dr Ste 103, Ellicott City, MD 21042-3871 | 2019-05-10 |
| 1144783598 | Fresenius Medical Care Southern Maryland Home, LLC | Clinic/Center | 3510 Old Washington Rd Ste 300, Waldorf, MD 20602-3236 | 2019-04-12 |
| 1205399854 | Mather Dialysis LLC | Clinic/Center | 1840 York Rd Ste A, Lutherville Timonium, MD 21093-5121 | 2019-04-10 |
| 1598228249 | Concerto Maryland LLC | Clinic/Center | 1531 S Edgewood St Ste D, Halethorpe, MD 21227-1138 | 2019-04-10 |
| 1346709037 | Dialyze Direct Md, LLC | Clinic/Center | 502 Mccormick Dr, Glen Burnie, MD 21061-3216 | 2019-03-13 |
| 1306323050 | Wyota Dialysis, LLC | Clinic/Center | 11700 Livingston Rd, Fort Washington, MD 20744-5150 | 2018-07-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.