Kidney Care Center Southern Maryland LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

KIDNEY CARE CENTER SOUTHERN MARYLAND LLC

Practice address

23503 Hollywood Road
Suite 104
Leonardtown, MD 20650-3795

Phone

(240) 309-4172

Fax

(240) 309-4195

NPI assigned

Mar 16, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Morufu Alausa, M.D.NPI 1730135955

Title

Medical Director

Phone

(815) 741-6830

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Morufu Olatunji Alausa, M.D

  • Nephrology Physician
  • Joliet, IL
  • NPI 1730135955
  NPD (past) Authorized official

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496275200000",
    "number": "1568823649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3877",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604343877",
            "telephone_number": "815-741-6830",
            "fax_number": "815-741-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23503 HOLLYWOOD ROAD",
            "address_2": "SUITE 104",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206503795",
            "telephone_number": "240-309-4172",
            "fax_number": "240-309-4195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY CARE CENTER SOUTHERN MARYLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-16",
        "last_updated": "2017-06-01",
        "status": "A",
        "authorized_official_last_name": "ALAUSA",
        "authorized_official_first_name": "MORUFU",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "815-741-6830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Donigan, LCSW-C, L.L.C.
• Trishna Kattel
• Navjeet Kaur
• Alice Lillybeth Kelly
• Sanjar Khodjaev, DMD
• Cynthia J Kilcoyne
• Mi Jin Kim
• Robert Konkol, M.D.
• Crystal Koran, SLP
• Diana Lynne Kraft, LCPC

• Nephrology Physician in Leonardtown, MD
• Providers in Leonardtown, MD by specialty
• Nephrology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2017; 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.