Midwest Kidney Care, LLC

Primary specialty

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

Legal business name

MIDWEST KIDNEY CARE, LLC

Doing business as

Midwest Kidney Care-Kenosha Branch

Practice address

6804 Green Bay Rd
Suite 108
Kenosha, WI 53142-1452

Phone

(262) 697-6323

Fax

(262) 397-6308

NPI assigned

Jul 8, 2006

Last updated

Oct 27, 2011By 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

Mr. David A Kurz

Title

V.P. Operations

Phone

(414) 762-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Midwest Kidney Care-Kenosha Branch Doing business as

Member of 1

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

• Aurora Health Care Ventures, Inc.

  • Eyewear Supplier
  • Plymouth, WI
  • NPI 1245251016

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory V Warren, MD

  • Nephrology Physician
  • Milwaukee, WI
  • NPI 1649262544
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1174556856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 MAHN CT",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531542155",
            "telephone_number": "414-762-2020",
            "fax_number": "414-762-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6804 GREEN BAY RD",
            "address_2": "SUITE 108",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531421452",
            "telephone_number": "262-697-6323",
            "fax_number": "262-397-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST KIDNEY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "KURZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "V.P. OPERATIONS",
        "authorized_official_telephone_number": "414-762-2020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42061600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Kidney Care-Kenosha Branch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Midway Manor Corp. (Clairidge House)
• Midwest Alignment Center,LLC
• Midwest Center for Women's Health
• Midwest Center for Womens Health S.C.
• Midwest Family Support Services
• Midwest Physicians Anesthesia Service, SC
• Midwest Sports and Interventional Spine SC
• Julie E Miesfeld, PT
• Michael Matthew Mihajlovic, PSYD
• Chad T Mikesell, PT

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Kenosha, WI
• Providers in Kenosha, 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 Oct 27, 2011; 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.