Active NPI
Wye Oak Dialysis LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Silver Spring, MD
National Provider Identifier
1023522265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- WYE OAK DIALYSIS LLC
- Doing business as
- CADIA DIALYSIS
- Practice address
- 12325 New Hampshire Ave
Silver Spring, MD 20904-2957 - Phone
- (301) 622-4600
- NPI assigned
- Nov 27, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark A Yost Jr.
- Title
- Attorney
- Phone
- (240) 535-9463
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
12325 New Hampshire Ave
Silver Spring, MD 20904-2957
Mailing address
4922 Lasalle Rd
Hyattsville, MD 20782-3302
Other names 1
- CADIA DIALYSIS
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677715200000",
"number": "1023522265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4922 LASALLE RD",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207823302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12325 NEW HAMPSHIRE AVE",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209042957",
"telephone_number": "301-622-4600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WYE OAK DIALYSIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-27",
"last_updated": "2023-03-02",
"certification_date": "2023-03-02",
"status": "A",
"authorized_official_last_name": "YOST",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ATTORNEY",
"authorized_official_telephone_number": "240-535-9463",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CADIA DIALYSIS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.