ADVANCED DIALYSIS CENTER, LLC (NPI# 1255787115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255787115 |
Entity Type | Organization |
Organization Name | ADVANCED DIALYSIS CENTER, LLC |
Other Organization Name | ADVANCED DIALYSIS CENTER EASTON |
Practice Address |
610 Dutchmans Ln Easton MD 21601-3346 |
Mailing Address |
9320 Annapolis Rd Lanham MD 20706-3100 |
Practice Telephone | 4108209873 |
Mailing Telephone | 3015771007 |
Enumeration Date | 2016-05-10 |
Last Update Date | 2020-01-15 |
Authorized Official Name | MRS. MINESSIA ZARITA PEARSON (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 3015771007 |
Authorized Official Credential | MSN |
Is Organization Subpart | Y |
Parent Organization Name | ADVANCED DIALYSIS CENTER, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
E2649 | MD | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 4112326 | 05 |
Other Name | Type Code |
---|---|
Advanced Dialysis Center Easton | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609904267 | Advanced Dialysis Center, LLC | Clinic/Center | 9320 Annapolis Rd, Suite 200, Lanham, MD 20706-3100 | 2007-03-02 |
1811095722 | Advanced Dialysis Center, LLC | Registered Nurse | 1785 N Hayes Street, Advanced Dialysis Center Potomac, Arlington, VA 22202 | 2006-09-21 |
1265062954 | Advanced Dialysis Center, LLC | Clinic/Center | 2131 Davidsonville Rd, Crofton, MD 21114-1632 | 2020-01-22 |
1508029372 | Advanced Dialysis Center, LLC | Clinic/Center | 299 Hurley Ave, Rockville, MD 20850-3118 | 2008-07-02 |
Street Address |
610 DUTCHMANS LN |
City | EASTON |
State | MD |
Zip Code | 21601-3346 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326014598 | Michael Douglas Crowley | Family Medicine | 610 Dutchmans Ln, Easton, MD 21601-3346 | 2006-02-27 |
1205461001 | Easton Md Opco LLC | Respite Care | 610 Dutchmans Ln, Easton, MD 21601-3346 | 2020-03-12 |
1235697764 | Helen Ann Petersen | Occupational Therapy Assistant | 610 Dutchmans Ln, Easton, MD 21601-3346 | 2019-03-04 |
1962970731 | Elizabeth Marie Englert | Occupational Therapist | 610 Dutchmans Ln, Easton, MD 21601-3346 | 2018-11-09 |
1003311630 | Messanvi M Gozo | Nurse Practitioner | 610 Dutchmans Ln, Easton, MD 21601-3346 | 2018-03-26 |
1154831865 | Jennifer Paul | Physical Therapist | 610 Dutchmans Ln, Easton, MD 21601-3346 | 2017-10-07 |
1285151027 | Heather Jenkins | Physical Therapy Assistant | 610 Dutchmans Ln, Easton, MD 21601-3346 | 2017-08-23 |
1184146409 | Haley Layton Prettyman | Occupational Therapy Assistant | 610 Dutchmans Ln, Easton, MD 21601-3346 | 2017-07-07 |
1669916912 | Timothy Goslin | Occupational Therapy Assistant | 610 Dutchmans Ln, Easton, MD 21601-3346 | 2016-12-06 |
1346694718 | 610 Dutchmans Lane Operations LLC | Occupational Therapist | 610 Dutchmans Ln, Easton, MD 21601-3346 | 2016-04-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588205215 | Jodi Windsor Kindt | Nurse Practitioner | Aamg Talbot Primary Care, 28438 Marlboro Avenue, Easton, MD 21601 | 2019-10-03 |
1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
1710458583 | Patricia Vilani | Occupational Therapy Assistant | 12 Magnolia, Easton, MD 21601 | 2018-12-05 |
1538687702 | Kristin Dabbs Wilkerson | Counselor | 29520 Canvasback Drive, Easton, MD 21601 | 2017-09-07 |
1356869978 | Angela Lynn Rutherford | Physical Therapy Assistant | 610 Dutchman's Ln, Easton, MD 21601 | 2017-09-04 |
1851842389 | Myeyedr Optometry of Maryland, LLC | Optometrist | 28522 Marlboro Ave, Ste A, Easton, MD 21601 | 2016-10-19 |
1659721991 | Lauren Strady | Pediatrics | 500 Cadmus Ln Ste 210, Easton, MD 21601 | 2016-06-17 |
1194174391 | Statcare Group IIi, PC | Clinic/Center | 28522-c Marlboro Avenue, Easton, MD 21601 | 2016-06-08 |
1245684224 | Christina M Ball | Nurse Practitioner | 545 Cynwood Drive, Easton, MD 21601 | 2016-04-15 |
1205220274 | Rebecca Ann Ruby Ailstock | Midwife | 508 Idlewild Ave Ste 3, Easton, MD 21601 | 2015-03-26 |
Find all providers in zip 21601 |
Taxonomy Code | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
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1346296100 | Bio-medical Applications of Pennsylvania, Inc. | Clinic/Center | 3501 Northwood Ave, Bma of Easton - Ckd Services, Easton, PA 18045-8008 | 2006-05-25 |
1821058330 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 500 Cadmus Ln Ste 201, Easton, MD 21601-4094 | 2006-03-27 |
1265600712 | Fresenius Medical Care Comprehensive Ckd Services Inc | Clinic/Center | 3501 Northwood Ave, Ckd Services of Easton, Easton, PA 18045-8008 | 2008-02-19 |
1235234022 | Bio-medical Applications of Pennsylvania, Inc. | Clinic/Center | 3501 Northwood Ave, Easton, PA 18045-8008 | 2006-09-14 |
1457313223 | Renal Treatment Centers Northeast Inc | Clinic/Center | 30 Community Dr, Easton, PA 18045-2658 | 2006-04-05 |
1972578573 | Northhampton Hospital Corporation | Clinic/Center | 250 S 21st St, Easton, PA 18042-3851 | 2006-02-17 |
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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 |
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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.