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MID-ATLANTIC NEPHROLOGY ASSOCIATES PA NPI 1356390108


NPI Information

NPI: 1356390108
Provider Name: MID-ATLANTIC NEPHROLOGY ASSOCIATES PA

Other Name: DIALYSIS ACCESS SPECIALISTS

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 21D0916658

Address:
516 N ROLLING RD
SUITE 304
BALTIMORE, MD
ZIP 21228
Phone: (410) 744-0890
Get Directions

MID-ATLANTIC NEPHROLOGY ASSOCIATES PA is a nephrology internal medicine in Baltimore, MD. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. MID-ATLANTIC NEPHROLOGY ASSOCIATES PA NPI is 1356390108. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Dialysis Access Specialists.

The provider's business location address is:

516 N ROLLING RD
SUITE 304
BALTIMORE, MD
ZIP 21228-140
Phone: (410) 744-0890
Fax: (410) 744-2007

The provider's authorized official is Paul E Turer .
The authorized official title is President and has the following contact phone number (410) 536-5400.

The CLIA number assigned to this NPI record is 21D0916658 - end stage renal disease dialysis facility with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/9/2006 and was last updated on 6/29/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrologyMARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
178161400MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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