Organization Active NPI

Frederick Kidney Care Associates

  • Specialist
  • Frederick, MD
National Provider Identifier
1861744559
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1033305263 Issued in MD
Legal business name
FREDERICK KIDNEY CARE ASSOCIATES
Practice address
405 W 7TH St
Suite a
Frederick, MD 21701-4505
Phone
(301) 696-0012
Fax
(301) 696-0016
NPI assigned
Oct 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

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

Authorized official

Name
Mrs. Cathy Marrone, RN
Title
Office Manager
Phone
(301) 696-0012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 1033305263 MD Primary

Addresses

Primary practice location

405 W 7TH St
Suite a
Frederick, MD 21701-4505

Mailing address

405 W 7TH St
Suite a
Frederick, MD 21701-4505
Phone (301) 696-0012

Other identifiers 1

IdentifierTypeStateIssuer
418519600MedicaidMD

National Provider Directory

National Provider Directory

Locations

405 W 7th St
#A
Frederick, MD 21701
Phone (301) 696-0012

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1861744559",
    "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": "301-696-0012",
            "fax_number": "301-696-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W 7TH ST",
            "address_2": "SUITE A",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014505",
            "telephone_number": "301-696-0012",
            "fax_number": "301-696-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK KIDNEY CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "MARRONE",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-696-0012",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "1033305263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "418519600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.