Fresenius Medical Care Creve Coeur, LLC

Primary specialty

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

Legal business name

FRESENIUS MEDICAL CARE CREVE COEUR, LLC

Doing business as

Fresenius Medical Care Creve Coeur Home

Practice address

450 North New Bassas Road
Suite 180
Creve Coeur, MO 63141-6835

Phone

(314) 684-1907

Fax

(314) 279-5815

NPI assigned

Mar 26, 2020

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Mark R. Fawcett

Title

SVP and Treasurer

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other names 1

• Fresenius Medical Care Creve Coeur Home Doing business as

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1730716085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 NORTH NEW BASSAS ROAD",
            "address_2": "SUITE 180",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416835",
            "telephone_number": "314-684-1907",
            "fax_number": "314-279-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 NORTH NEW BASSAS ROAD",
            "address_2": "SUITE 180",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416835",
            "telephone_number": "314-684-1907",
            "fax_number": "314-279-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESENIUS MEDICAL CARE CREVE COEUR, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "SVP AND TREASURER",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "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": "Fresenius Medical Care Creve Coeur Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fresenius Medical Care Creve Coeur Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Douglas John Fox, D.D.S.,M.S.,P.C.
• Paige Francis, OTD
• Stephanie Francis
• Grace Marie Freeman, FNP-BC
• Fresenius Medical Care Creve Coeur Home Therapies, LLC
• Robert Andrew Frost, D.M.D.,M.S.
• Judith Cunningham Fuller, M.S.W., L.C.S.W.
• Christina M Furrer, PA
• Gafford General Practices, LLC
• Bailey E Gale

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.