Organization Active NPI

Fresenius Medical Care Comprehensive CKD Services Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Miami, FL
National Provider Identifier
1609015064
Registry record updated Sep 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SERVICES INC
Practice address
9193 SW 72ND St
Ste 100B CKD Services of Miami
Miami, FL 33173-3487
Phone
(305) 273-8240
NPI assigned
Feb 9, 2009
Organization subpart
Yes
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INCLAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 14, 2009

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

Authorized official

Name
Mark Fawcett
Title
VP, Treasurer
Phone
(781) 699-2668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

9193 SW 72ND St
Ste 100B CKD Services of Miami
Miami, FL 33173-3487

Mailing address

920 Winter St
Fmcna CKD Services
Waltham, MA 02451-1521
Phone (781) 699-4160

Other names 1

  • CKD Services of Miami Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252886400000",
    "number": "1609015064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 WINTER ST",
            "address_2": "FMCNA CKD SERVICES",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511521",
            "telephone_number": "781-699-4160",
            "fax_number": "781-699-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9193 SW 72ND ST",
            "address_2": "STE 100B CKD SERVICES OF MIAMI",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733487",
            "telephone_number": "305-273-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INCL",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-09-14",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "VP, TREASURER",
        "authorized_official_telephone_number": "781-699-2668"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CKD Services of Miami",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.