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 Vero Beach

Practice address

1515 Indian River Blvd
Ste. a-101 CKD Services of Vero Beach
Vero Beach, FL 32960-5627

Phone

(772) 778-4917

Fax

(772) 778-0884

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 Vero Beach Doing business as

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1730357393",
    "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": "1515 INDIAN RIVER BLVD",
            "address_2": "STE. A-101 CKD SERVICES OF VERO BEACH",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605627",
            "telephone_number": "772-778-4917",
            "fax_number": "772-778-0884"
        }
    ],
    "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": "2008-02-18",
        "last_updated": "2008-10-21",
        "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 Vero Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Marie Fratcher, FNP-BC
• Richard Frates
• Sheree Dominique Ewar Frazier, ARNP
• Fred J Petrilla Jr PHD & Associates PA
• Gabrielle E Freeman
• Fresenius Medical Care Vero Beach, LLC (Fresenius Kidney Care Vero Beach)
• Fresh Horizons Alf
• Allen Paul Friedenstab, M.D.
• Ian Blair Fries, M.D.
• Susan Blair Fries, D.C.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.