Fresnius Medical Care Comprehensive CKD Services Inc

Primary specialty

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

Legal business name

FRESNIUS MEDICAL CARE COMPREHENSIVE CKD SERVICES INC

Practice address

592 Fieldstown Rd
Ste. 102 CKD Services of Gardendale
Gardendale, AL 35071-3414

Phone

(205) 608-3653

Fax

(205) 608-3654

NPI assigned

Feb 18, 2008

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

Mark Fawcett

Title

Vice President, Treasurer

Phone

(781) 699-2668

Specialties & licenses 1

Addresses

Other names 1

• CKD Services of Gardendale Doing business as

Locations

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1730357385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 WINTER ST",
            "address_2": "FMCNA CKD SERVICES 3W-16",
            "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": "592 FIELDSTOWN RD",
            "address_2": "STE. 102 CKD SERVICES OF GARDENDALE",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350713414",
            "telephone_number": "205-608-3653",
            "fax_number": "205-608-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESNIUS MEDICAL CARE COMPREHENSIVE CKD SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS INC",
        "enumeration_date": "2008-02-18",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "VICE PRESIDENT, 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 Gardendale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Francis Fox, D.C.
• Brianna Renee Franklin
• Gerald W Franks, LPC
• Andrew Frazier
• Jeremy Free, ATC/L
• Gina Marie Fuller, ATC
• Jazlyn Fuller, RBT
• Katherine Drake Gamble, PT, DPT
• Keri Gamblin, COTA/L
• Gardendale Chiropractic Center

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Gardendale, AL
• Providers in Gardendale, AL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.