Accesscare Dialysis

Primary specialty

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

Legal business name

ACCESSCARE DIALYSIS

Doing business as

AccessCare Fort Stockton Dialysis

Practice address

387 W Ih 10
Fort Stockton, TX 79735-2700

Phone

(512) 680-0524

NPI assigned

Apr 3, 2009

Last updated

Apr 3, 2009By 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. John R Hedrick

Title

Partner

Phone

(512) 680-0524

Specialties & licenses 1

Addresses

Other names 1

• AccessCare Fort Stockton Dialysis Doing business as

Listed as

Fresenius Kidney Care Ft. StocktonCCN 672639

Overall star rating

5.0 of 5

Ownership

Profit

Certified

Apr 16, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Fresenius Medical Care

Dialysis stations

8

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Asif Ali Khan Ansari, MD

  • Nephrology Physician
  • Odessa, TX
  • NPI 1528299872

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238716800000",
    "number": "1710129820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5224 75TH ST",
            "address_2": "SUITE D",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242523",
            "telephone_number": "512-680-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 W IH 10",
            "city": "FORT STOCKTON",
            "state": "TX",
            "postal_code": "797352700",
            "telephone_number": "512-680-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESSCARE DIALYSIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-03",
        "last_updated": "2009-04-03",
        "status": "A",
        "authorized_official_last_name": "HEDRICK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "512-680-0524",
        "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": "AccessCare Fort Stockton Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Antonio R Acosta, DNP, APRN, CRNA, NSP
• Apsp-Ft Stockton, LLC
• Avanti Ayush (Meridian Health Systems)
• Avanti-Ayush, LLC (The Vintage)
• Avanti-Ayush,LLC (Vintage Estates)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fort Stockton, TX
• Providers in Fort Stockton, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; 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.