DVA HEALTHCARE OF MARYLAND LLC (NPI# 1023078466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023078466 |
| Entity Type | Organization |
| Organization Name | DVA HEALTHCARE OF MARYLAND LLC |
| Other Organization Name | FREDERICK DIALYSIS |
| Practice Address |
140 Thomas Johnson Dr Ste100 Frederick MD 21702-4475 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 3016950900 |
| Practice Fax Number | 3016952808 |
| Mailing Telephone | 6153204214 |
| Mailing Fax Number | 8669443352 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2020-05-16 |
| Authorized Official Name | JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334501 |
| 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 |
E2598 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007727620017 | 05 | |
| WV | 3810015779 | 05 | |
| MD | 408119600 | 05 |
| Other Name | Type Code |
|---|---|
| Frederick 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 |
| 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 |
| Street Address |
140 THOMAS JOHNSON DR STE100 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-4475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134118326 | William Henry Johnson | Internal Medicine | 140 Thomas Johnson Dr, Suite 202, Frederick, MD 21702-4402 | 2005-10-19 |
| 1114370681 | Akanksha Gaur Joshi | Dentist | 140 Thomas Johnson Dr, Frederick, MD 21702-4475 | 2016-07-19 |
| 1700051943 | Politimi Mantzouranis Dds LLC | Dentist | 140 Thomas Johnson Dr, Suite 203, Frederick, MD 21702-4483 | 2008-04-29 |
| 1932300845 | Kiran Samindla | Internal Medicine | 140 Thomas Johnson Dr, Suite 202, Frederick, MD 21702-4475 | 2007-05-29 |
| 1285773531 | Politimi C Mantzouranis | Dentist | 140 Thomas Johnson Dr, Suite 203, Frederick, MD 21702 | 2007-02-05 |
| 1912985698 | Tanuja Mishra | Internal Medicine | 140 Thomas Johnson Dr, Ste 202, Frederick, MD 21702-4404 | 2006-01-04 |
| 1508847286 | Stephanie Susan Comer-concordia | Nurse Practitioner | 140 Thomas Johnson Dr, Suite 202, Frederick, MD 21702-4475 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| 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 |
|---|---|---|---|---|
| 1396236626 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 1306 W Patrick St Ste 5, Frederick, MD 21703-4869 | 2018-05-22 |
| 1285086389 | Kidney Center of Dacono LLC | Clinic/Center | 5992 Iris Pkwy, Frederick, CO 80504-6412 | 2016-07-13 |
| 1114119336 | Frederick Renal Care LLC. | Clinic/Center | 405 W Seventh St, Suite A, Frederick, MD 21701-4505 | 2007-08-11 |
| 1407381155 | Fresenius Medical Care Frederick, LLC | Clinic/Center | 163 Thomas Johnson Dr, Frederick, MD 21702-4673 | 2017-05-01 |
| 1104102839 | Freedom Home Dialysis, LLC | Clinic/Center | 45 Thomas Johnson Dr, Suite 211, Frederick, MD 21702-4425 | 2011-10-26 |
| 1902184625 | Total Renal Care Inc | Clinic/Center | 5205 Chairmans Ct, Ste 101, Frederick, MD 21703-2916 | 2011-07-29 |
| 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.