Usrc Fenton LLC

Primary specialty

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

Legal business name

USRC FENTON LLC

Doing business as

U.S. Renal Care Fenton Dialysis

Practice address

850 Horan Dr
Fenton, MO 63026-2408

Phone

(636) 305-1144

NPI assigned

Sep 10, 2019

Last updated

Sep 10, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

U.S. RENAL CARE INC.As reported in NPPES

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

Authorized official

Name

Thomas L Weinberg

Title

Chairman

Phone

(214) 736-2730

Specialties & licenses 1

Addresses

Other names 1

• U.S. Renal Care Fenton Dialysis Doing business as

Part of

US Renal Care Inc

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1023667235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251549",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750251500",
            "telephone_number": "214-736-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 HORAN DR",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262408",
            "telephone_number": "636-305-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC FENTON LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE INC.",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "214-736-2730"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care Fenton Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamal Ngawashon Toure, PHARMD
• Mehulkumar Trivedi, DMD
• Scott Anthony Ulsas, D.C.
• Unique Milestones Behavior Services and Consultation LLC
• US Medgroup of Kansas PA
• Suman Vaddi, M.D.
• Brandon Valerio
• Linda K Varadachari
• Christine Ann Vaughan, FNP
• Janani Vigneswaran, MD, MPH

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fenton, MO
• Providers in Fenton, MO by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.