Frederick Renal Care LLC.

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

FREDERICK RENAL CARE LLC.

Practice address

405 W Seventh St
Suite a
Frederick, MD 21701-4505

Phone

(301) 696-2290

Fax

(301) 696-5580

NPI assigned

Aug 11, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Aleister Corteling

Title

Administrator

Phone

(301) 696-2290

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rohan Raju Rengen, D.O.

  • Nephrology Physician
  • Frederick, MD
  • NPI 1609067792
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1114119336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W 7TH ST",
            "address_2": "SUITE A",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014505",
            "telephone_number": "301-696-2290",
            "fax_number": "301-696-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W SEVENTH ST",
            "address_2": "SUITE A",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014505",
            "telephone_number": "301-696-2290",
            "fax_number": "301-696-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK RENAL CARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-11",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "CORTELING",
        "authorized_official_first_name": "ALEISTER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "301-696-2290",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Primary Care Associates, P.a.
• Frederick Psychiatry LLC
• Frederick Psychology Center LLC
• Frederick Psychotherapy LLC
• Frederick Reflexology LLC
• Frederick Surgical Center, LLC
• Frederick Urology Associates PA
• Frederick Urosurgical Center LLC
• Beth Frederick, PSY D
• Frederick'S Radiology & Diagnostic Center, LLC

• All providers in Frederick, MD
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.