FRESENIUS MEDICAL CARE BOWIE, LLC (NPI# 1023648284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023648284 |
| Entity Type | Organization |
| Organization Name | FRESENIUS MEDICAL CARE BOWIE, LLC |
| Practice Address |
16300 Heritage Blvd Bowie MD 20716-3106 |
| Practice Telephone | 7816999000 |
| Practice Fax Number | 7816999057 |
| Mailing Telephone | 7816999000 |
| Mailing Fax Number | 7816999057 |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2020-01-16 |
| Authorized Official Name | JAMES DIVITO (VICE PRESIDENT) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, 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 |
|---|---|
| Fresenius Kidney Care Bowie | Doing Business As Name - Organization |
| Street Address |
16300 HERITAGE BLVD |
| City | BOWIE |
| State | MD |
| Zip Code | 20716-3106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508330903 | Stacey Katheryn Lundquist | Counselor | 3060 Michellville Rd, Suite 106, Bowie, MD 20716 | 2019-01-18 |
| 1427528819 | Nicole Rudd | Counselor | 4315 Northview Dr, Bowie, MD 20716 | 2018-11-28 |
| 1427541838 | Outreach Recovery II, LLC | Internal Medicine | 4201 Northview Dr Ste 104, Bowie, MD 20716 | 2018-06-11 |
| 1487143608 | Fatimata Koroma | Counselor | 3953 Elite St, Bowie, MD 20716 | 2018-05-02 |
| 1043739618 | Breanna Collinson | Behavior Technician | 3017 New Oak Ln., Bowie, MD 20716 | 2017-09-15 |
| 1790202000 | Sierra Williams Howell | Nurse Practitioner | 2802 Eliston Street, Bowie, MD 20716 | 2017-08-28 |
| 1487175105 | Martine Jean | Technician | 15911 Pointer Ridge Rd, Bowie, MD 20716 | 2017-07-03 |
| 1902254493 | Olachi Enwerem | Licensed Practical Nurse | 16206 Audubon Lane, Bowie, MD 20716 | 2016-05-25 |
| 1780039230 | Debra Lachaune Garris | Specialist | 3042 Mitchiville Road, Bowie, MD 20716 | 2016-05-03 |
| 1750782553 | Medical Trasportation Systems LLC | Non-emergency Medical Transport (VAN) | 16036 Elegant Ave, Bowie, MD 20716 | 2014-09-11 |
| Find all providers in zip 20716 | ||||
| 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 |
|---|---|---|---|---|
| 1194785907 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 4861 Telsa Dr, Ste G-h, Bowie, MD 20715-4318 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1073006276 | Bio Medical Applications of Maryland Inc | Clinic/Center | 28103 Three Notch Rd Ste 1a, Mechanicsville, MD 20659-3294 | 2018-06-12 |
| 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.