RENAL TREATMENT CENTERS - MID-ATLANTIC, INC. (NPI# 1093278624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093278624 |
| Entity Type | Organization |
| Organization Name | RENAL TREATMENT CENTERS - MID-ATLANTIC, INC. |
| Other Organization Name | GREENMOUNT CENTRAL DIALYSIS |
| Practice Address |
423 E North Ave Baltimore MD 21202-5915 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 4432200780 |
| Practice Fax Number | 4432200526 |
| Mailing Telephone | 6153204214 |
| Mailing Fax Number | 8669443352 |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2020-10-23 |
| 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 |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Greenmount Central Dialysis | Doing Business As Name - Organization |
| Greenmount North Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004360 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 7525 Tidewater Dr Ste 37, Norfolk, VA 23505-3700 | 2020-05-18 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | RENAL TREATMENT CENTERS - MID-ATLANTIC, INC. | Jldsecgovfin 2000 16th Street, Denver, CO 80202 |
| Street Address |
423 E NORTH AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21202-5915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982968947 | Aramide Akinmola | Pharmacist | 423 E North Ave, Rite Aid Pharmacy, Baltimore, MD 21202 | 2012-06-25 |
| 1679097596 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 423 E North Ave, Baltimore, MD 21202-5915 | 2017-08-02 |
| 1144765967 | Michael Oyewole | Pharmacist | 423 E North Ave, Baltimore, MD 21202-5915 | 2017-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750938650 | Anthony Graves | Behavior Technician | 414 Light Street, Baltimore, MD 21202 | 2019-08-25 |
| 1235786609 | Perfected Medical Billing & Consulting Service Inc. | Rehabilitation Counselor | 11 E Mt Royal Avenue, 3rd Flr Ste 2, Baltimore, MD 21202 | 2019-08-21 |
| 1700430246 | Ronie George | Nurse Practitioner | 345 St. Paul Place Dept of Pediatrics, Baltimore, MD 21202 | 2019-08-01 |
| 1750940185 | Katherine Wachter Mullins | Social Worker | 200 East North Ave, Related Services - Rm 210, Baltimore, MD 21202 | 2019-06-10 |
| 1720647175 | Ivelysse Claudio Cortes | Speech-Language Pathologist | Rsu/ofic of Spec Educ- Speech-language Department, 200 E North Avenue, Room 211, Baltimore, MD 21202 | 2019-06-10 |
| 1497314157 | Debera Marie Reznitsky | Speech-Language Pathologist | 200 East North Avenue, Related Services Rm 210, Baltimore, MD 21202 | 2019-06-06 |
| 1154989952 | Zirka Oksanna Hanas | Speech-Language Pathologist | 200 E. North Avenue, Related Services Room #210, Baltimore, MD 21202 | 2019-06-05 |
| 1750946224 | Lareneque Bartholomew | Counselor | 110 East Lexington Street, Suite 200, Baltimore, MD 21202 | 2019-05-09 |
| 1700349602 | Strategies, Inc. Behavior Analysis & Therapeutic Services | Behavioral Analyst | 414 Light Street, Baltimore, Md, Usa, 2103, Baltimore, MD 21202 | 2019-04-09 |
| 1902384068 | Medical Practice Billing and Solution, LLC | Clinic/Center | 224 N Gay Street, Baltimore, MD 21202 | 2018-08-01 |
| Find all providers in zip 21202 | ||||
| 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 |
|---|---|---|---|---|
| 1639660962 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 5315 York Rd, Baltimore, MD 21212-3830 | 2018-05-22 |
| 1851740096 | Northpoint Dialysis Clinic LLC | Clinic/Center | 1046 North Point Road, Baltimore, MD 21224 | 2016-06-08 |
| 1699121517 | Fresenius Medical Care Nw Baltimore, LLC | Clinic/Center | 2 Hamill Rd Ste 200, Baltimore, MD 21210-1817 | 2016-05-10 |
| 1689035693 | Baltimore County Dialysis, LLC | Clinic/Center | 407 N Caroline St Ste 100, Baltimore, MD 21231-1003 | 2016-03-18 |
| 1346621554 | Kidney Home Center, LLC | Clinic/Center | 200 Saint Paul St Ste 5, Baltimore, MD 21202-2025 | 2015-06-12 |
| 1942623129 | Braidwood Dialysis LLC | Clinic/Center | 200 Saint Paul Pl, Suite 5, Baltimore, MD 21202-2004 | 2014-01-24 |
| 1114351863 | The Good Samaritan Hospital of Maryland, Inc. | Clinic/Center | 1046 S Northpoint Rd, Baltimore, MD 21224-3307 | 2013-08-29 |
| 1821330952 | Fresenius Medical Care Essex Dundalk, LLC | Clinic/Center | 1107 N Point Blvd Ofc Park, Suite 201, Baltimore, MD 21224-3420 | 2013-03-27 |
| 1306112693 | The Good Samaritan Hospital of Maryland, Inc. | Clinic/Center | 4700 Hartford Road, Baltimore, MD 21214 | 2012-03-30 |
| 1073720827 | Bio Medical Applications of Maryland Inc | Clinic/Center | 1104 Walters Ave, Baltimore, MD 21239 | 2007-05-17 |
| Find all providers in BALTIMORE | ||||
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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.