Fresenius Medical Care Comprehensive CKD Services Inc

Primary specialty

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

Legal business name

FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SERVICES INC

Doing business as

CKD Services of Carbon County

Practice address

168 S SGT Stanley Hoffman Blvd
RT 209 Bypass, CKD Services of Carbon County
Lehighton, PA 18235-2230

Phone

(610) 379-0330

Fax

(610) 379-0336

NPI assigned

Feb 19, 2008

Last updated

Nov 21, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS INCAs 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

Vice President, Treasurer

Phone

(791) 699-2668

Specialties & licenses 1

Addresses

Other names 1

• CKD Services of Carbon County Doing business as

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1356519847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 WINTER ST",
            "address_2": "FMCNA CKD SERVICES 3W-16",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511521",
            "telephone_number": "781-699-4160",
            "fax_number": "781-699-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 S SGT STANLEY HOFFMAN BLVD",
            "address_2": "RT 209 BYPASS, CKD SERVICES OF CARBON COUNTY",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182352230",
            "telephone_number": "610-379-0330",
            "fax_number": "610-379-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS INC",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "VICE PRESIDENT, TREASURER",
        "authorized_official_telephone_number": "791-699-2668"
    },
    "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": "CKD Services of Carbon County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexandra Farano, CRNP
• Amanda Marie Farina, MS CCC SLP
• Susan Mary Featro
• Kalmen Feinberg, MD
• Jason Finney, MPT
• Denise Ann Frey, MHSC RDN LDN
• Marissa Frey
• Ross N Futerfas, M.D.
• Lakshminarayana Gajula, M.D.
• Maille C Galvin, MS, RDN, LDN

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lehighton, PA
• Providers in Lehighton, PA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.