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FRESENIUS KIDNEY CARE EASTERN AVENUE
NPI 1790146702
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Baltimore, MD

Active since March 18, 2016
4940 EASTERN AVE, 5TH FLOOR PAVILION, BALTIMORE, MD 21224(410) 558-5125(410) 558-5139 Get Directions Write a Review

NPPES record last updated: July 15, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2016, Mar 24, 2016, Mar 18, 2016 (3 updates tracked since 2016).

About Fresenius Kidney Care Eastern Avenue NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRESENIUS KIDNEY CARE EASTERN AVENUE (NPI 1790146702) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Baltimore, Maryland and active in the NPI registry since March 2016. The organization lists Mark R. Fawcett, Sr. Vp And Treasurer, as its authorized official.

NPPES Registry Identity

NPI1790146702
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameBALTIMORE COUNTY DIALYSIS, LLC
Location Address4940 EASTERN AVE, 5TH FLOOR PAVILIONBaltimore, MD 21224-2735
Mailing Address4940 Eastern Ave, 5th Floor PavilionBaltimore, MD 21224-2735 · (410) 558-5125 · Fax (410) 558-5139
Phone(410) 558-5125
Fax(410) 558-5139
Organization SubpartYesParent: Fresenius Medical Care Holdings, Inc.
Authorized OfficialMark R. FawcettSr. Vp And Treasurer · (781) 699-9000
Enumeration DateMarch 18, 2016
Last NPPES UpdateJuly 15, 20163 updates tracked since enumeration
✔ NPI 1790146702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
4940 EASTERN AVE, Baltimore, MD 21224
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Other Names 1

Doing Business AsFresenius Kidney Care Eastern Avenue

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SUSRUTHA KOTWAL MD
Internal Medicine
4940 EASTERN AVE, MFL BLDG, WEST TOWER, 6TH FLOOR
BALTIMORE, MD 21224
Baltimore City (410) 550-5018
DR. SAMANTHA A WOLFE MD
Otolaryngology
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-2370
MARK MILEY PA-C
Physician Assistant
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-9227
REID C. WILKINS MD
Pathology (Anatomic Pathology & Clinical Pathology)
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-5568
DEREK MASON MD, MPH
Student in an Organized Health Care Education/Training Program
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-0100
RUCHITA SUDHIR PENDSE MD
Obstetrics & Gynecology
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-5568
VIVIANA KATHERINE PEARSON NEONATAL NURSE PRACT
Registered Nurse (Neonatal Intensive Care)
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (443) 297-7701
BRUCE ROBERT GIBSON M.D.
Surgery
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-0100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Baltimore County Dialysis, LLC's NPI number?

The NPI number for Baltimore County Dialysis, LLC is 1790146702. It was assigned to this organization in the NPPES registry on March 18, 2016. The provider is doing business as Fresenius Kidney Care Eastern Avenue.

Where is Baltimore County Dialysis, LLC located?

Baltimore County Dialysis, LLC is located at 4940 Eastern Ave 5th Floor Pavilion, Baltimore, MD 21224. The listed phone number is (410) 558-5125.

What is Baltimore County Dialysis, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

When was this NPI record last updated?

The NPPES record for Baltimore County Dialysis, LLC was last updated on July 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.