Midwest Kidney Care, LLC

Primary specialty

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

Legal business name

MIDWEST KIDNEY CARE, LLC

Doing business as

Midwest Kidney Care-Racine Branch

Practice address

5409 Durand Ave
Racine, WI 53406-5008

Phone

(262) 598-8727

Fax

(262) 598-8836

NPI assigned

Jul 7, 2006

Last updated

Oct 27, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David A Kurz

Title

V.P. Operations

Phone

(414) 762-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Midwest Kidney Care-Racine Branch Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

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

• Aurora Health Care Ventures, Inc.

  • Eyewear Supplier
  • Plymouth, WI
  • NPI 1245251016

  Member Of

  NPD member

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1396778163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 MAHN CT",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531542155",
            "telephone_number": "414-762-2020",
            "fax_number": "414-762-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 DURAND AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534065008",
            "telephone_number": "262-598-8727",
            "fax_number": "262-598-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST KIDNEY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "KURZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "V.P. OPERATIONS",
        "authorized_official_telephone_number": "414-762-2020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42060300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Kidney Care-Racine Branch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• MH Imaging-Racine LLC
• Asia Mian
• Katherine M Miceli, PHARMD.
• Michael R Westman DDS Ms SC
• Susan F Mickel, M.D., PH.D.
• Anthony Christopher Mielcarek, PTA
• Myron Mikaelian, MD
• Wendy Ann Miklaszewski, OTR
• Rondee Mikolajczak
• Marie M Miller-Christensen, PSY.D.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Racine, WI
• Providers in Racine, WI by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.