Organization Active NPI

End Stage Renal Disease Care PC

  • Nephrology Physician
  • Muncie, IN
National Provider Identifier
1366444127
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
50002637A Issued in IN
Legal business name
END STAGE RENAL DISEASE CARE PC
Practice address
2701 W North St
Suite C
Muncie, IN 47303-3415
Phone
(765) 287-0248
Fax
(765) 287-0265
NPI assigned
Aug 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joseph Howard Haslitt, MD MPHNPI 1134112113
Title
Secretary Treasurer
Phone
(765) 287-0248

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 50002637A IN Primary

Addresses

Primary practice location

2701 W North St
Suite C
Muncie, IN 47303-3415

Mailing address

2701 W North St
Suite C
Muncie, IN 47303-3415
Phone (765) 287-0248

National Provider Directory

National Provider Directory

Locations

2701 W North St
Muncie, IN 47303
Phone (765) 281-6920

2701 W North St
Ste C
Muncie, IN 47303
Phone (765) 287-0248

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1366444127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 W NORTH ST",
            "address_2": "SUITE C",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473033415",
            "telephone_number": "765-287-0248",
            "fax_number": "765-287-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 W NORTH ST",
            "address_2": "SUITE C",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473033415",
            "telephone_number": "765-287-0248",
            "fax_number": "765-287-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "END STAGE RENAL DISEASE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "HASLITT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "765-287-0248",
        "authorized_official_credential": "MD MPH"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "50002637A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.