MWRDC OF ANNAPOLIS (NPI# 1528256633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528256633 |
| Entity Type | Organization |
| Organization Name | MWRDC OF ANNAPOLIS |
| Other Organization Name | ANNAPOLIS DIALYSIS CENTER PA |
| Practice Address |
1908 Forest Dr Annapolis MD 21401-4340 |
| Mailing Address |
4915 Auburn Ave Suite 200 Bethesda MD 20814-2636 |
| Practice Telephone | 4108979854 |
| Mailing Telephone | 3019073939 |
| Mailing Fax Number | 3016563943 |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | DR. EDWARD DUDEK (PRESIDENT) |
| Authorized Official Telephone | 3019073939 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
D0029010 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD | CK8259 | 01 | |
| MD | 496601500 | 05 |
| Other Name | Type Code |
|---|---|
| ANNAPOLIS DIALYSIS CENTER PA | Doing Business As Name - Organization |
| Street Address |
1908 FOREST DR |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-4340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801256292 | Jacob Daniel Green | Chiropractor | 1908 Forest Dr, Suite 2-hi, Annapolis, MD 21401-4340 | 2016-02-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| 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 |
|---|---|---|---|---|
| 1346683935 | Kryt Chattrabhuti | Internal Medicine | 116 Defense Hwy Ste 202, Annapolis, MD 21401-7045 | 2013-04-12 |
| 1215206107 | James Johnston Carey | Internal Medicine | 2021 Homewood Rd, Annapolis, MD 21409 | 2011-12-21 |
| 1700904000 | William John Cirksena Sr. | Internal Medicine | 813 Coachway, Annapolis, MD 21401-6416 | 2007-03-26 |
| 1063470235 | Andrew E Briglia | Internal Medicine | 104 Forbes St Ste 102, Annapolis, MD 21401-1543 | 2006-05-03 |
| 1356982599 | Annapolis Nephrology Associates | Internal Medicine | 104 Forbes St Ste 102, Annapolis, MD 21401-1543 | 2019-09-30 |
| 1215592712 | Annapolis Nephrology Associates LLC | Internal Medicine | 104 Forbes St Ste 102, Annapolis, MD 21401-1543 | 2019-05-09 |
| 1245217116 | George C Samaras | Internal Medicine | 2001 Medical Pkwy, Annapolis, MD 21401-3280 | 2005-12-30 |
| 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 |
| 1962744268 | Mohamad Hanouneh | Internal Medicine | 5601 Loch Raven Blvd Ste 3n, Baltimore, MD 21239 | 2013-03-25 |
| 1699012575 | Ramnika Iqbal Singh Gumber | Internal Medicine | 1830 E. Monument Street, 4th Floor, Suite 416, Baltimore, MD 21287 | 2013-01-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MWRDC OF ANNAPOLIS.
| 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.