Bio-Medical Applications of Wisconsin Inc

Primary specialty

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

Legal business name

BIO-MEDICAL APPLICATIONS OF WISCONSIN INC

Doing business as

Fresenius Medical Care Shawano

Practice address

1509 S Lincoln St
Shawano, WI 54166-3428

Phone

(715) 524-8038

Fax

(715) 524-8043

NPI assigned

Jul 20, 2010

Last updated

Dec 1, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS INC.As reported in NPPES

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) 699-9000

Specialties & licenses 1

Addresses

Other names 1

• Fresenius Medical Care Shawano Doing business as

Member of 1

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

• National Medical Care, Inc.

  dba RCC Wellington

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lake Worth, FL
  • NPI 1871695163

  Member Of

  NPD member

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1093028979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 S LINCOLN ST",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541663428",
            "telephone_number": "715-524-8038",
            "fax_number": "715-524-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 S LINCOLN ST",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541663428",
            "telephone_number": "715-524-8038",
            "fax_number": "715-524-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIO-MEDICAL APPLICATIONS OF WISCONSIN INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS INC.",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "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": "Fresenius Medical Care Shawano",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Lynn Berna, PTA
• Amanda Born Bernath, M.D.
• Aeric Berner, DC
• Katie Lynn Bero
• Kavit Lache Beyersdorf, OD
• Birch Hill Care Center LLC (Atrium Post Acute Care of Shawano at Birch Hill)
• David Randall Block, LCSW
• Judith A Blum, O.T.R.
• Tiffani Lee Bohm, RN
• Robert Joseph Bohr Jr.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Shawano, WI
• Providers in Shawano, WI by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.