DVA HEALTHCARE OF MARYLAND LLC (NPI# 1518927391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518927391 |
| Entity Type | Organization |
| Organization Name | DVA HEALTHCARE OF MARYLAND LLC |
| Other Organization Name | PASADENA DIALYSIS |
| Practice Address |
8037 Gov Ritchie Hwy Ste A Pasadena MD 21122-7121 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 4105904615 |
| Practice Fax Number | 4107666718 |
| Mailing Telephone | 6153204214 |
| Mailing Fax Number | 8669443352 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2019-05-08 |
| 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 |
E2613 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 426270100 | 05 |
| Other Name | Type Code |
|---|---|
| Pasadena 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 |
| 1144280736 | Dva Healthcare of Maryland LLC | Clinic/Center | 14 Commerce St, Dundalk, MD 21222-4307 | 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 |
| 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 |
8037 GOV RITCHIE HWY STE A |
| City | PASADENA |
| State | MD |
| Zip Code | 21122-7121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889211 | Hyunji Lee | Pharmacist | 8107 Governor Ritchie Highway, Pasadena, MD 21122 | 2020-10-25 |
| 1538712625 | Liri Fusha | Clinic/Center | 8221 Richie Hwy Suit #102, Pasadena, MD 21122 | 2019-07-18 |
| 1730649922 | Barrett Arthur Tollenger | Counselor | 2825 Mountain Road, Suite 204, Pasadena, MD 21122 | 2019-03-22 |
| 1750849543 | Bradley J Spoon | Counselor | 8028 Ritchie Highway St. 312, Pasadena, MD 21122 | 2019-03-11 |
| 1366916553 | Brittney Byrd | Behavior Technician | 7759 Middlegate Ct, Pasadena, MD 21122 | 2019-01-22 |
| 1780154310 | Amanda Ann Zeller | Speech-Language Pathologist | 8515 Jenkins Road, Pasadena, MD 21122 | 2018-11-27 |
| 1225531544 | Anne Arundel-sca Surgicenter, LLC | Clinic/Center | 8109 Ritchie Hwy Ste 250, Pasadena, MD 21122 | 2018-03-13 |
| 1629577424 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 18 Magothy Beach Road Suite A, Pasadena, MD 21122 | 2018-02-07 |
| 1063968261 | Chinedu Ikpemo | Pharmacist | 8051 Fort Smallwood Rd, Pasadena, MD 21122 | 2016-08-28 |
| 1053728634 | Wisecare, LLC | Clinic/Center | 33 Magothy Beach Rd, Suite 102-103, Pasadena, MD 21122 | 2014-07-16 |
| Find all providers in zip 21122 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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| 1467941534 | Kinnick Dialysis LLC | Clinic/Center | 1382 Locust St, Pasadena, CA 91106-1515 | 2018-05-04 |
| 1487105920 | Space City Dialysis Pasadena - Dsi, LLC | Clinic/Center | 3402 Burke Rd, Pasadena, TX 77504-1805 | 2016-10-19 |
| 1073069811 | Sng - Pasadena Dialysis Center Lp | Clinic/Center | 5040 Crenshaw Rd, Ste 200, Pasadena, TX 77505 | 2016-08-31 |
| 1497101463 | Bio-medical Applications of Texas, Inc. | Clinic/Center | 1210 Southmore Ave, Pasadena, TX 77502-1206 | 2016-05-10 |
| 1457742678 | Shetek Dialysis LLC | Clinic/Center | 390 S Fair Oaks Ave, Ste 120, Pasadena, CA 91105-2540 | 2015-02-10 |
| 1740554773 | Liberty Dialysis - Pasadena, LLC | Clinic/Center | 757 S Raymond Ave, Suite 100, Pasadena, CA 91105-3250 | 2012-03-08 |
| 1689948762 | C&h Solutions | Clinic/Center | 1165 Medford Rd, Pasadena, CA 91107-1703 | 2012-03-07 |
| 1760624092 | Arcadia Gardens Dialysis LLC | Clinic/Center | 3722 E Colorado Blvd, Pasadena, CA 91107-3872 | 2009-04-01 |
| 1447362330 | Bio-medical Applications of Texas, Inc. | Clinic/Center | 4901 E Sam Houston Pkwy S, Pasadena, TX 77505-1520 | 2006-08-31 |
| Find all providers in PASADENA | ||||
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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.