DVA HEALTHCARE OF MARYLAND LLC (NPI# 1760442925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760442925 |
Entity Type | Organization |
Organization Name | DVA HEALTHCARE OF MARYLAND LLC |
Other Organization Name | BEL AIR DIALYSIS |
Practice Address |
2225 Old Emmorton Rd Ste 105 Bel Air MD 21015-6129 |
Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
Practice Telephone | 4105152078 |
Practice Fax Number | 4105153425 |
Mailing Telephone | 6153204230 |
Mailing Fax Number | 8663765823 |
Enumeration Date | 2006-03-23 |
Last Update Date | 2017-12-28 |
Authorized Official Name | JIM K HILGER (CHIEF ACCOUNTING OFFICER) |
Authorized Official Telephone | 2537334500 |
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 |
E2594 | MD | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 523503100 | 05 | |
PA | 1007727620007 | 05 |
Other Name | Type Code |
---|---|
Bel Air Dialysis | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154381663 | Dva Healthcare of Maryland LLC | Clinic/Center | 1 Nashua Ct, Ste E, Baltimore, MD 21221-3131 | 2006-03-27 |
1144280736 | Dva Healthcare of Maryland LLC | Clinic/Center | 14 Commerce St, Dundalk, MD 21222-4307 | 2006-03-27 |
1629038252 | Dva Healthcare of Maryland LLC | Clinic/Center | 8040 Georgia Ave, Suite 150, Silver Spring, MD 20910-4959 | 2006-03-27 |
1427018944 | Dva Healthcare of Maryland LLC | Clinic/Center | 1423 Clarkview Rd, Suite 500, Baltimore, MD 21209-2134 | 2006-03-27 |
1164482089 | Dva Healthcare of Maryland LLC | Clinic/Center | 22 S Howard St, Baltimore, MD 21201-2505 | 2006-03-24 |
1518927391 | Dva Healthcare of Maryland LLC | Clinic/Center | 8037 Gov Ritchie Hwy, Ste A, Pasadena, MD 21122-7121 | 2006-03-24 |
1568422459 | Dva Healthcare of Maryland LLC | Clinic/Center | 10401 Hospital Dr Ste G2, Clinton, MD 20735-3113 | 2006-03-24 |
1023077328 | Dva Healthcare of Maryland LLC | Clinic/Center | 920 E 25th St, Baltimore, MD 21218-5503 | 2006-03-23 |
1023078466 | Dva Healthcare of Maryland LLC | Clinic/Center | 140 Thomas Johnson Dr, Ste100, Frederick, MD 21702-4475 | 2006-03-27 |
Street Address |
2225 OLD EMMORTON RD STE 105 |
City | BEL AIR |
State | MD |
Zip Code | 21015-6129 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508320060 | Meaghan Schoeffield | Occupational Therapist | 2225 Old Emmorton Rd, Bel Air, MD 21015-6129 | 2019-01-29 |
1174881098 | Matthew P Mardiney Md PC | Allergy & Immunology | 2225 Old Emmorton Rd, Suite 111, Bel Air, MD 21015-6129 | 2012-04-28 |
1023285004 | Stephanie L Spiker | Speech-Language Pathologist | 2225 Old Emmorton Rd, Suite 210, Bel Air, MD 21015-6129 | 2008-05-09 |
1437362134 | Charlotte C Mitchum | Speech-Language Pathologist | 2225 Old Emmorton Rd, Suite 210, Bel Air, MD 21015-6129 | 2007-05-08 |
1740301829 | Katharine L Romero | Speech-Language Pathologist | 2225 Old Emmorton Rd, Suite 210, Bel Air, MD 21015-6129 | 2007-04-03 |
1063444859 | Jeffrey D. Horowitz, M.d., L.L.C. | Surgery | 2225 Old Emmorton Rd, Suite 111, Bel Air, MD 21015-6129 | 2006-07-06 |
1891726014 | Jeffrey D. Horowitz | Surgery | 2225 Old Emmorton Rd, Suite 111, Bel Air, MD 21015-6129 | 2006-07-05 |
1144271073 | Matthew Peter Mardiney Sr. | Allergy & Immunology | 2225 Old Emmorton Rd, Suite 111, Bel Air, MD 21015-6129 | 2006-05-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114525235 | Graceful Speech-language Therapy | Speech-Language Pathologist | 610 Mauser Dr, Bel Air, MD 21015 | 2020-10-12 |
1770124844 | Asana Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 815 Sapling Ct, Bel Air, MD 21015 | 2019-09-30 |
1427601103 | Newpoints | Substance Abuse Rehabilitation Facility | 242 Ogden Court, Bel Air, MD 21015 | 2019-07-22 |
1184186199 | Notable Life Counseling Services LLC | Counselor | 2107-2109 Laurel Bush Road, Ste 103b, Bel Air, MD 21015 | 2019-04-01 |
1295293553 | Gary Reznik D.d.s., P.a. | Dentist | 1816 Emmorton Rd, Bel Air, MD 21015 | 2019-03-06 |
1942770524 | Erin Tromblay | Speech-Language Pathologist | 85 Patterson Mill Road, Bel Air, MD 21015 | 2018-11-27 |
1740638857 | Holly A Smith | Nurse Practitioner | 5 Bel Air Parkway, Suite 1535, Bel Air, MD 21015 | 2016-05-31 |
1891155420 | National Rehabilitation Hospital, Inc | Clinic/Center | 12 Medstar Boulevard, Suite 325, Bel Air, MD 21015 | 2016-02-24 |
1780002956 | Louis Rosson Robinett IIi | Internal Medicine | 2227 Old Emmorton Rd Ste 120, Bel Air, MD 21015 | 2014-04-03 |
1609207083 | Vicki Lynn Goldberg | Physical Therapist | 2304 Churchville Road, Bel Air, MD 21015 | 2013-12-10 |
Find all providers in zip 21015 |
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 |
---|---|---|---|---|
1205113636 | Total Renal Care Inc | Clinic/Center | 602 S Atwood Rd Ste 106, Bel Air, MD 21014-4198 | 2011-11-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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.