Fresenius Medical Care Comprehensive CKD Services Inc

Primary specialty

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

Legal business name

FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SERVICES INC

Doing business as

CKD Services of E. Stroudsburg

Practice address

125 S Courtland St
CKD Services of E. Stroudsburg
East Stroudsburg, PA 18301-2804

Phone

(570) 476-1606

Fax

(570) 476-5737

NPI assigned

Apr 6, 2009

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INCAs reported in NPPES

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

Authorized official

Name

Mr. Mark Fawcett

Title

VP, Treasurer

Phone

(781) 699-2668

Specialties & licenses 1

Addresses

Other names 1

• CKD Services of E. Stroudsburg Doing business as

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1619119757",
    "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": "125 S COURTLAND ST",
            "address_2": "CKD SERVICES OF E. STROUDSBURG",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183012804",
            "telephone_number": "570-476-1606",
            "fax_number": "570-476-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-04-06",
        "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",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CKD Services of E. Stroudsburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vincent Francescangeli Jr., MD
• Judith Amelie Francois Valentin
• Paige Elizabeth Frantz
• Paulina Frasse
• Cecilia Freeman
• Gordon W Fried, D.O.
• Cindy Marie Fuhrman
• Dale Debra Fuller, NLMT
• Georgia Furino
• Fusion Medical Staffing

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.