ADVANCED DIALYSIS CENTER (NPI# 1699861922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699861922 |
| Entity Type | Organization |
| Organization Name | ADVANCED DIALYSIS CENTER |
| Practice Address |
610 Dutchmans Lane Easton MD 21601 |
| Mailing Address |
9320 Annapolis Rd #200 Lanham MD 20706 |
| Practice Telephone | 4108209873 |
| Practice Fax Number | 4108209875 |
| Mailing Telephone | 3015771007 |
| Mailing Fax Number | 3015771006 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-08-30 |
| Authorized Official Name | MRS. MINESSIA ZARITA PEARSON (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3019437808 |
| Authorized Official Credential | MSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0500X |
Registered Nurse Specialization: Hemodialysis |
E2642R | MD | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295828051 | Advanced Dialysis Center | Clinic/Center | 9101 Liberty Rd, Randallstown, MD 21133-3521 | 2006-10-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ADVANCED DIALYSIS CENTER OF FORT LAUDERDALE | 911 E Oakland Park Blvd, Oakland Park, FL 33334-2725 |
| Street Address |
610 DUTCHMANS LANE |
| City | EASTON |
| State | MD |
| Zip Code | 21601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013435635 | Carole Purdue | Occupational Therapist | 610 Dutchmans Lane, Easton, MD 21601 | 2017-09-04 |
| 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 | 163WH0500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Hemodialysis |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265672182 | George-marie Tonia Garber | Registered Nurse | 4806 Circling Hunter Dr Apt 101, Columbia, MD 21045-5513 | 2009-03-05 |
Please comment or provide details below to improve the information on ADVANCED DIALYSIS CENTER.
| 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.