COVENANT NEPHROLOGY LLC (NPI# 1508407560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508407560 |
| Entity Type | Organization |
| Organization Name | COVENANT NEPHROLOGY LLC |
| Practice Address |
13003 Heil Manor Dr Reisterstown MD 21136-5712 |
| Practice Telephone | 4106279548 |
| Mailing Telephone | 4106279548 |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |
| Authorized Official Name | DR. KEVIN ROSSITER (PRESIDENT) |
| Authorized Official Telephone | 4106279548 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Street Address |
13003 HEIL MANOR DR |
| City | REISTERSTOWN |
| State | MD |
| Zip Code | 21136-5712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093784332 | Kevin A Rossiter | Internal Medicine | 13003 Heil Manor Dr, Reisterstown, MD 21136-5712 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791276 | Iyawamiwa Shittu | Counselor | 11 Chartley Drive, Reisterstown, MD 21136 | 2019-07-11 |
| 1508334517 | Amanda Britton | Speech-Language Pathologist | 12039 Reisterstown Rd., Reisterstown, MD 21136 | 2018-11-07 |
| 1366964272 | Marc Manko | Physician Assistant | 12608 Mt. Laurel Ct., Reisterstown, MD 21136 | 2017-07-12 |
| 1518325794 | Diana Jebaraj | Occupational Therapist | 15 Sunday Ct, Reisterstown, MD 21136 | 2016-02-03 |
| 1164816823 | Golda-amit Incorporated | Supports Brokerage | 11919 Tarragon Rd, Apt A, Reisterstown, MD 21136 | 2015-03-20 |
| 1073925210 | Irina Koyfman | Nurse Practitioner | 321 Chamborley Drive, Reisterstown, MD 21136 | 2014-05-22 |
| 1033462627 | Tracy Brenton | Counselor | 14450 Hanover Pike, Reisterstown, MD 21136 | 2012-10-19 |
| 1760738884 | Bonnie Lynne Haines | Massage Therapist | 141 Westminster Pike, Reisterstown, MD 21136 | 2012-07-26 |
| 1588921464 | Alexsandr Fishman | Dentist | 11710 Reisterstown Rd Ste 201, Reisterstown, MD 21136 | 2012-04-18 |
| 1992000954 | Darlene L. Reaka Israel | Nurse Practitioner | 23 Chartley Park Rd, Reisterstown, MD 21136 | 2011-01-21 |
| Find all providers in zip 21136 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093784332 | Kevin A Rossiter | Internal Medicine | 13003 Heil Manor Dr, Reisterstown, MD 21136-5712 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144855024 | Prince George's Kidney Care, LLC | Internal Medicine | 12200 Annapolis Rd Ste 233, Glenn Dale, MD 20769-9182 | 2020-03-11 |
| 1093294910 | Metropolitan Vascular Institute LLC | Internal Medicine | 12070 Old Line Ctr Ste 100, Waldorf, MD 20602 | 2018-08-10 |
| 1801391933 | Southern Maryland Nephrology and Hypertension | Internal Medicine | 9131 Piscataway Rd Ste 750, Clinton, MD 20735-2581 | 2018-03-29 |
| 1649724931 | Howard A. Austin IIi | Internal Medicine | National Institutes of Health Nih, Crc Bldg. 10/room 5-2551, Bethesda, MD 20892-0001 | 2016-08-04 |
| 1700269230 | Mohammadali Anwar | Internal Medicine | 4475 Regency Pl Ste 201, White Plains, MD 20695-3074 | 2015-07-01 |
| 1467834556 | Neeharik Mareedu | Internal Medicine | 12502 Willowbrook Rd Ste 400, Cumberland, MD 21502-6567 | 2015-06-24 |
| 1285031765 | Hossam Abdalla | Internal Medicine | 25 Crossroads Dr Ste 205, Owings Mills, MD 21117-5533 | 2014-11-26 |
| 1780094219 | Harshal P Shah | Internal Medicine | 8926 Woodyard Rd Ste 602, Clinton, MD 20735-4235 | 2014-05-06 |
| 1346683935 | Kryt Chattrabhuti | Internal Medicine | 116 Defense Hwy Ste 202, Annapolis, MD 21401-7045 | 2013-04-12 |
| 1962744268 | Mohamad Hanouneh | Internal Medicine | 5601 Loch Raven Blvd Ste 3n, Baltimore, MD 21239 | 2013-03-25 |
| Find all providers with the same taxonomy | ||||
| City | REISTERSTOWN |
| Zip Code | 21136 |
Please comment or provide details below to improve the information on COVENANT NEPHROLOGY LLC.
| 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.