Active NPI
End Stage Renal Disease Care PC
- Nephrology Physician
- Muncie, IN
National Provider Identifier
1366444127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 50002637A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph Howard Haslitt, MD MPH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 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 DirectoryLocations
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.