INDEPENDENT DIALYSIS FOUNDATION, INC (NPI# 1487662243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487662243 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT DIALYSIS FOUNDATION, INC |
| Practice Address |
611 S Charles St Baltimore MD 21230-3801 |
| Mailing Address |
840 Hollins St Baltimore MD 21201-1024 |
| Practice Telephone | 4104680900 |
| Practice Fax Number | 4104680911 |
| Mailing Telephone | 4104680900 |
| Mailing Fax Number | 4104680911 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2007-07-16 |
| Authorized Official Name | ZEKE AYELE (DIRECTOR OF INFORMATION SYSTEMS) |
| Authorized Official Telephone | 4104680900 |
| Is Organization Subpart | Y |
| Parent Organization Name | INDEPENDENT DIALYSIS FOUNDATION, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
E2582 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CIGNA | 0704865003 | 01 |
| MD | MDIPA | 215143 | 01 |
| MD | FEP | PS8 | 01 |
| PA | 01689292 | 05 | |
| MD | JAI MEDICAL | 21506 | 01 |
| WV | 0005759000 | 05 | |
| MD | AETNA | 0125608 | 01 |
| MD | CAREFIRST | 576241-03 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295746527 | Independent Dialysis Foundation, Inc | Clinic/Center | 888 Memorial Dr, Oakland, MD 21550-5101 | 2006-08-11 |
| 1669483731 | Independent Dialysis Foundation, Inc | Clinic/Center | 939 Frederick St, Cumberland, MD 21502-1217 | 2006-08-11 |
| 1942218797 | Independent Dialysis Foundation, Inc | Clinic/Center | 804 Landmark Dr, Suite 112, Glen Burnie, MD 21061-4486 | 2006-08-04 |
| 1033127881 | Independent Dialysis Foundation, Inc | Clinic/Center | 3303 Chestnut Ave, Baltimore, MD 21211-2623 | 2006-08-04 |
| 1669480422 | Independent Dialysis Foundation, Inc | Clinic/Center | 225 W Dares Beach Rd, Prince Frederick, MD 20678-3123 | 2006-08-04 |
| 1639187651 | Independent Dialysis Foundation, Inc | Clinic/Center | 840 Hollins St, Baltimore, MD 21201-1024 | 2006-08-04 |
| 1316954381 | Independent Dialysis Foundation, Inc | Clinic/Center | 901 Seton Dr, Floor 1, Cumberland, MD 21502-1817 | 2006-08-02 |
| Street Address |
611 S CHARLES ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21230-3801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821348608 | Melanie L Ervin | Registered Nurse | 611 S Charles St, Carruthers Clinic, Baltimore, MD 21230-3801 | 2012-09-19 |
| 1871887679 | Carrie H Etheridge | Social Worker | 611 S Charles St, Baltimore, MD 21230-3801 | 2011-06-09 |
| 1306130117 | University of Maryland Medical Center | Social Worker | 611 S Charles St, Suite 4, Baltimore, MD 21230-3801 | 2011-06-09 |
| 1437488103 | Shawna Denise Brown | Social Worker | 611 S Charles St, 4th Floor, Baltimore, MD 21230-3801 | 2009-12-09 |
| 1962659557 | Elizabeth Custodio Bowery | Student in an Organized Health Care Education/Training Program | 611 S Charles St, Fourth Floor, Baltimore, MD 21230-3801 | 2008-08-26 |
| 1841453339 | Kristan Halaiko | Social Worker | 611 S Charles St, Fourth Floor, Baltimore, MD 21230-3801 | 2008-07-07 |
| 1275744351 | Carole M Booth | Psychologist | 611 S Charles St, Fourth Floor, Baltimore, MD 21230-3801 | 2007-05-24 |
| 1093924565 | Elliot L Hong | Psychologist | 611 S Charles St, Fourth Floor, Baltimore, MD 21230-3801 | 2007-05-22 |
| 1215946041 | Renee Lynn Watters | Social Worker | 611 S Charles St, Baltimore, MD 21230-3801 | 2006-08-08 |
| 1992714893 | Stepahnie Christine Boudreau | Social Worker | 611 S Charles St, Baltimore, MD 21230-3801 | 2006-08-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739558 | Margaret Webb | Registered Nurse | Medstar Health, 1420 Key Highway, Baltimore, MD 21230 | 2020-10-27 |
| 1497381263 | Hawkes Counseling Services | Counselor | 837 Washington Blvd, Suite B, Baltimore, MD 21230 | 2020-03-12 |
| 1821570011 | Lisa Le | Social Worker | 1623 Covington St, Baltimore, MD 21230 | 2018-09-04 |
| 1396237673 | Kinderhealth, LLC | Nurse Practitioner | 10 W West St, Baltimore, MD 21230 | 2018-06-03 |
| 1144745068 | Charles Billingsley | Counselor | 909 W Barre St, Baltimore, MD 21230 | 2017-08-11 |
| 1447791058 | Elizabeth Richmond | Nurse Practitioner | 2 East Wells Apt 179, Baltimore, MD 21230 | 2017-03-15 |
| 1952775389 | Courtney Schwalbe | Speech-Language Pathologist | 600 S Paca Street, Baltimore, MD 21230 | 2015-11-23 |
| 1093071920 | Glass Health Programs, Inc | Clinic/Center | 1801 Cherry Hill Rd, Baltimore, MD 21230 | 2012-04-04 |
| 1487937512 | Harris Teeter, LLC | Pharmacy | 1801 Whetstone Way, Baltimore, MD 21230 | 2011-09-26 |
| 1487980280 | Ife A Thompson | Physician Assistant | 601 S. Charles Street, Baltimore, MD 21230 | 2009-10-29 |
| Find all providers in zip 21230 | ||||
| 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 |
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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.