Nra-South City, Missouri, LLC

Primary specialty

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

License

N/A Issued in MO

Legal business name

NRA-SOUTH CITY, MISSOURI, LLC

Doing business as

South Towne Square Dialysis Clinic

Practice address

11107 S Towne SQ
Saint Louis, MO 63123-7814

Phone

(314) 894-3400

Fax

(314) 894-1384

NPI assigned

Jun 9, 2006

Last updated

Aug 29, 2026By 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

Denise Wright

Title

Vice President

Phone

(781) 676-5200

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SOUTH TOWNE SQUARE DIALYSIS CLINIC Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Listed as

South Towne Square Dialysis ClinicCCN 262615

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Jul 14, 2006

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Fresenius Medical Care

Dialysis stations

18

Locations

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Karth Antony, MD

  • Nephrology Physician
  • Saint Louis, MO
  • NPI 1790756104

  Dialysis facility

  Care Compare affiliation Name & address match
• Nicholas Gourtzelis, MD

  • Nephrology Physician
  • Saint Louis, MO
  • NPI 1790734994

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787961600000",
    "number": "1225079395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11107 S TOWNE SQ",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631237814",
            "telephone_number": "314-894-3400",
            "fax_number": "314-894-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11107 S TOWNE SQ",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631237814",
            "telephone_number": "314-894-3400",
            "fax_number": "314-894-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NRA-SOUTH CITY, MISSOURI, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2006-06-09",
        "last_updated": "2026-08-29",
        "certification_date": "2026-08-29",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "781-676-5200"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "MO",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA CERTIFICATE OF WAIVE",
            "identifier": "26D1053597",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "506960806",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SOUTH TOWNE SQUARE DIALYSIS CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carly E Nowell, M.ED
• Terri L. Nowell, P.A.
• Chandra M Nowlis, ANP-BC
• Thomas John Nowotny, MD
• Blakeslee E Noyes, MD
• Nra-St. Louis, Missouri, LLC (Forest Park Dialysis Clinic)
• Marie Nsudila, ACNP
• Nu Era Home Healthcare LLC
• Nu-Crown, Inc. (Crown Optical)
• Nu-Crown, LLC (Crown Optical)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, 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 Aug 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.