RENAL TREATMENT CENTERS - MID-ATLANTIC, INC. (NPI# 1760004360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760004360 |
| Entity Type | Organization |
| Organization Name | RENAL TREATMENT CENTERS - MID-ATLANTIC, INC. |
| Practice Address |
7525 Tidewater Dr Ste 37 Norfolk VA 23505-3700 |
| Mailing Address |
5200 Virginia Way L & C Department Brentwood TN 37027-7569 |
| Practice Telephone | 6153415875 |
| Mailing Telephone | 6153415875 |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2020-05-18 |
| Authorized Official Name | JOHN WINSTEL (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334501 |
| Is Organization Subpart | Y |
| Parent Organization Name | DAVITA INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Southern Tide Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871113746 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 165 Market St Ste 6, Onancock, VA 23417-4233 | 2020-04-21 |
| 1457907917 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 570 Westgate Shopping Ctr, Bedford, VA 24523-2643 | 2019-08-12 |
| 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 |
| 1174086698 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 105 Adair Dr, Goldsboro, NC 27530-4516 | 2019-04-11 |
| 1780147207 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 9266 Us Highway 301 S, Kenly, NC 27542 | 2019-04-11 |
| 1629546577 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 901 E Main St Ste 12, Palmyra, PA 17078-1923 | 2018-11-08 |
| 1184191819 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 210 Ocean Hwy S, Hertford, NC 27944-7901 | 2018-10-31 |
| 1639660962 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 5315 York Rd, Baltimore, MD 21212-3830 | 2018-05-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | RENAL TREATMENT CENTERS - MID-ATLANTIC, INC. | Jldsecgovfin 2000 16th Street, Denver, CO 80202 |
| Street Address |
7525 TIDEWATER DR STE 37 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23505-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154844256 | Cassandra Shelton | Specialist/Technologist, Other | 100 Kingsley Lane, Norfolk, VA 23505 | 2017-07-20 |
| 1063942852 | Gabriela Marie Santiago | Specialist/Technologist | 7600 Victory Dr, Apt 3, Norfolk, VA 23505 | 2017-06-14 |
| 1144776725 | Amr Hassan | Pharmacist | 1610 W Little Creek Rd, Apt 204, Norfolk, VA 23505 | 2016-09-01 |
| 1992175095 | Heather Mitchell | Nurse Practitioner | 110 Kingsley Ln Ste 309, Norfolk, VA 23505 | 2015-10-01 |
| 1255710620 | Jessica Ann Kestranek | Dentist | 7400 Granby St Ste D, Norfolk, VA 23505 | 2015-05-19 |
| 1710375274 | Carla Toledo | Nurse Practitioner | 155 Kingsley Lane, Suite 400, Norfolk, VA 23505 | 2015-01-06 |
| 1417359746 | James Austin Valone Jr. | Ophthalmology | 1423 Runymede Rd, Norfolk, VA 23505 | 2014-09-18 |
| 1861813370 | Harris Teeter, LLC | Pharmacy | 7550 Granby Street, Norfolk, VA 23505 | 2013-12-31 |
| 1649549361 | Linda Horsey | Social Worker | 7510 Granby Street, Suite 6, Norfolk, VA 23505 | 2011-12-27 |
| 1679705164 | Carolyn Lee Kee | Nurse's Aide | 7403 Hampton Blvd, Norfolk, VA 23505 | 2009-08-17 |
| Find all providers in zip 23505 | ||||
| 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 |
|---|---|---|---|---|
| 1497363253 | Fresenius Medical Care Kempsville Home, LLC | Clinic/Center | 6161 Kempsville Cir Ste B, Norfolk, VA 23502-3932 | 2020-07-17 |
| 1699034686 | Total Renal Care Inc | Clinic/Center | 1817 E Little Creek Rd, Ste A, Norfolk, VA 23518-4203 | 2012-05-10 |
| 1659640522 | Renal Treatment Centers Illinois Inc | Clinic/Center | 610 S 13th St, Norfolk, NE 68701-4969 | 2011-12-22 |
| 1700055399 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 2201 Colonial Ave, Norfolk, VA 23517-1928 | 2008-02-27 |
| 1851495725 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 5621 Tidewater Dr, Norfolk, VA 23509-1442 | 2006-09-12 |
| 1821192691 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 1902 Omohundro Ave, Suite 100, Norfolk, VA 23517-2219 | 2006-09-12 |
| 1740384312 | Faith Regional Health Services | Clinic/Center | 1603 W Prospect Ave, Norfolk, NE 68701-3683 | 2006-09-12 |
| 1548224470 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 962 Norfolk Sq, Norfolk, VA 23502-3235 | 2006-04-17 |
| 1861015406 | Virginia Renal Holdings, LLC | Clinic/Center | 251 S Newtown Rd, Norfolk, VA 23502-5718 | 2020-05-18 |
| 1669842407 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 420 N Center Dr, Bldg 11-ste 128, Norfolk, VA 23502-4019 | 2015-10-06 |
| Find all providers in NORFOLK | ||||
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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.