RCG Indiana, L.L.C.

Primary specialty

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

Legal business name

RCG INDIANA, L.L.C.

Doing business as

RCG Defiance

Practice address

1850 E 2ND St
Suites 1846 and 1850
Defiance, OH 43512-2502

Phone

(419) 782-9090

NPI assigned

Aug 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Fawcett

Title

Treasurer

Phone

(781) 402-9000

Specialties & licenses 1

Addresses

Other names 1

• RCG DEFIANCE Doing business as

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003921867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 E 2ND ST",
            "address_2": "SUITES 1846 AND 1850",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435122502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 E 2ND ST",
            "address_2": "SUITES 1846 AND 1850",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435122502",
            "telephone_number": "419-782-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RCG INDIANA, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "781-402-9000"
    },
    "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": "RCG DEFIANCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carrie Radzik, ATC/L, LMT, NMT
• Jon M Raimonde, CRNA
• Christina Raines, LPN
• Laura R Rath, RPH
• Caroline Rayfield
• Recovery Services Nwo
• Recovery Services of Northwest Ohio, Inc
• Chandler Reeves, PA-C
• J D Reeves, M.D.
• Kelli N. Reineke, OTR

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Defiance, OH
• Providers in Defiance, OH by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.