Renal Care Group of the Ozarks, LLC

Primary specialty

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

Legal business name

RENAL CARE GROUP OF THE OZARKS, LLC

Practice address

1394B State Highway 248
Branson, MO 65616-8200

Phone

(417) 334-7480

NPI assigned

Aug 31, 2006

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

• RENAL CARE GROUP BRANSON Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Renal Care Group of the Midwest, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Cape Girardeau, MO
  • NPI 1992817894

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033221908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1394B STATE HIGHWAY 248",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656168200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1394B STATE HIGHWAY 248",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656168200",
            "telephone_number": "417-334-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL CARE GROUP OF THE OZARKS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "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": "RENAL CARE GROUP BRANSON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Terry G Reese, MSN APRN FNP-BC
• Chris R Reeves, DO
• Regional Services
• Regional Services
• Kimberly Kay Regnier, PA-C
• Lisa Requena, D.O.
• Jarett Reusch, DC
• Stephanie Jean Rexilius, ANP-C
• Kayla Jean Rhoads, FNP-C
• Richard D. Tallon, DDS, PC

• All providers in Branson, MO
• 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 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.