Nra London Kentucky LLC

Primary specialty

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

License

330159 Issued in KY

Legal business name

NRA LONDON KENTUCKY LLC

Practice address

775 N Laurel Rd
London, KY 40741-6025

Phone

(606) 862-8888

Fax

(606) 862-8890

NPI assigned

Jan 13, 2006

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

Mr. Mark R. Fawcett

Title

Treasurer

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• London Dialysis Clinic Doing business as

Locations

Practitioners 1

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

• Steven J Bander, M.D.

  • Nephrology Physician
  • Des Peres, MO
  • NPI 1750496303
  NPD (past)

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1376522771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 N LAUREL RD",
            "address_2": "SUITE 500",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407416025",
            "telephone_number": "606-862-8888",
            "fax_number": "606-862-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 N LAUREL RD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407416025",
            "telephone_number": "606-862-8888",
            "fax_number": "606-862-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NRA LONDON KENTUCKY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2006-01-13",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "781-699-9000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "KY",
            "license": "330159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39000617",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA CERT OF WAIVER",
            "identifier": "18D1010862",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "London Dialysis Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brooke M Nipper, LPCC
• Katherine B Noble, PA-C
• Mary Jean Nolan, APRN
• Hannah Marie Norris, APRN
• Deva Norvell, OTRL
• Chioma Nwagbara, MD
• Ann Jewell O'Dell Sr., MS, RPH
• Chelsea M Oakes, APRN
• Oakley Chiropractic Center PSC
• Johnathan W. Oakley, D.C.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in London, KY
• Providers in London, KY by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.