Nra-North Augusta, South Carolina, LLC

Primary specialty

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

License

ERD-173 Issued in SC

Legal business name

NRA-NORTH AUGUSTA, SOUTH CAROLINA, LLC

Practice address

10263 Atomic Rd
North Augusta, SC 29841-4484

Phone

(803) 279-3722

Fax

(803) 279-3461

NPI assigned

May 30, 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

SVP & Treasurer

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Fresenius Medical Care Atomic Road Doing business as

Member of 1

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

• National Medical Care, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bristol, TN
  • NPI 1477570117

  Member Of

  NPD member

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516924800000",
    "number": "1477500890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10263 ATOMIC RD",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298414484",
            "telephone_number": "803-279-3722",
            "fax_number": "803-279-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10263 ATOMIC RD",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298414484",
            "telephone_number": "803-279-3722",
            "fax_number": "803-279-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NRA-NORTH AUGUSTA, SOUTH CAROLINA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2006-05-30",
        "last_updated": "2018-01-26",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "SVP & 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": "SC",
            "license": "ERD-173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA CERTIFICATE OF WAIVE",
            "identifier": "42D1057702",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ERD173",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresenius Medical Care Atomic Road",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clarence Irving Norton, D.D.S.
• Laura Jean Norton, PH.D.
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• Malorie Kosht Novak, PT
• Kendra Elise O'Berry, LISW
• Lindsey Oertel
• James Alan Oester, PHARM.D
• Grace Isoken Ogala, N.P
• Mark Orgel, MD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in North Augusta, SC
• Providers in North Augusta, SC by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; 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.