Fresenius Vascular Care Crestview ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

FRESENIUS VASCULAR CARE CRESTVIEW ASC LLC

Practice address

214 Covell Rd
Crestview, FL 32539-6060

Phone

(850) 864-4005

NPI assigned

Apr 2, 2021

Organization subpart

No

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

Authorized official

Name

Gregg Miller, MDNPI 1942273560

Title

Sr. Vice President

Phone

(610) 644-8900

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Fresenius Vascular Care Pensacola LLC

  • Vascular & Interventional Radiology Physician
  • Pensacola, FL
  • NPI 1285031963

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregg Arthur Miller, MD

  • Nephrology Physician
  • Brooklyn, NY
  • NPI 1942273560
  NPD (past) Authorized official

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1770161390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 COVELL RD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325396060",
            "telephone_number": "850-864-4005",
            "fax_number": "484-924-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 COVELL RD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325396060",
            "telephone_number": "850-864-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESENIUS VASCULAR CARE CRESTVIEW ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-02",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT",
        "authorized_official_telephone_number": "610-644-8900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly Jean Francis, MS CCC-SLP
• Nancy Franco
• Lauren Brenci Franklin, MD
• Heather Frederick, DPT
• Kimberly Kay Freeman, LPN
• Fresenius Vascular Care Pensacola LLC
• Fresenius Vascular Care Pensacola LLC
• Jessica Frye, ITDS
• Jordan Fuller
• Kristin Nicole Fuller

• Ambulatory Surgical Clinic/Center in Crestview, FL
• Providers in Crestview, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.