NKC Baltimore West, LLC

Primary specialty

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

Legal business name

NKC BALTIMORE WEST, LLC

Practice address

809 Pinnacle Dr
Linthicum, MD 21090-2535

Phone

(410) 864-9800

Fax

(978) 450-5289

NPI assigned

May 5, 2015

Last updated

May 11, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

NXSTAGE KIDNEY CAREAs reported in NPPES

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

Authorized official

Name

Jeffrey Murray

Title

Director of Operations

Phone

(978) 687-4883

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1336526706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 PINNACLE DR",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210902535",
            "telephone_number": "410-864-9800",
            "fax_number": "978-450-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 PINNACLE DR",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210902535",
            "telephone_number": "410-864-9800",
            "fax_number": "978-450-5289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NKC BALTIMORE WEST, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NXSTAGE KIDNEY CARE",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "978-687-4883"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Linthicum, MD
• Providers in Linthicum, MD by specialty
• 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 11, 2015; 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.