Fresenius Medical Care Indian Hills, LLC

Primary specialty

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

Legal business name

FRESENIUS MEDICAL CARE INDIAN HILLS, LLC

Doing business as

Fresenius Medical Care Indian Hills

Practice address

820 Veterans Dr
Jackson, OH 45640-2144

Phone

(740) 286-5556

Fax

(740) 286-0100

NPI assigned

Apr 18, 2011

Last updated

Oct 18, 2023By 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

Barry L. Blanton

Title

Vice President

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other names 1

• FRESENIUS MEDICAL CARE INDIAN HILLS Doing business as

Electronic endpoints 1

Member of 3

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

• Bio-Medical Applications of Ohio, Inc.

  dba Knox County Kidney Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Mount Vernon, OH
  • NPI 1245345081

  Member Of

  NPD member
• Holzer Clinic, LLC

  • Multi-Specialty Clinic/Center
  • Gallipolis, OH
  • NPI 1508817248

  Member Of

  NPD member
• National Medical Care, Inc.

  dba Renal Care Center of North Georgia Bma

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Canton, GA
  • NPI 1871605600

  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.

• Renuka Kandula, M.D.

  • Internal Medicine Physician
  • Gallipolis, OH
  • NPI 1427095736
  NPD (past)

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1326338872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 VETERANS DR",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456402144",
            "telephone_number": "740-286-5556",
            "fax_number": "740-286-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 VETERANS DR",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456402144",
            "telephone_number": "740-286-5556",
            "fax_number": "740-286-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESENIUS MEDICAL CARE INDIAN HILLS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2011-04-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "BLANTON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "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": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "FRESENIUS MEDICAL CARE INDIAN HILLS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Misti Dawn Fout
• Wayne E Fout
• Sarah Rachel Fox
• Joy Lynn Franks
• Joseph R. Freeman, D.O.
• Laura A Friend
• Emily Anne Fuhrmann, APRN
• Sarah Gandee
• John P Garske, PH D
• Haley Brook Geer

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Jackson, OH
• Providers in Jackson, OH by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.