Organization Active NPI

Fresenius Medical Care Comprehensive CKD SE

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Uniontown, PA
National Provider Identifier
1982872248
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SE
Practice address
360 Walmart Dr
Uniontown, PA 15401-3109
Phone
(724) 832-8169
Fax
(724) 439-5397
NPI assigned
Feb 20, 2008
Organization subpart
Yes
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Authorized official

Name
Mark Fawcett
Title
Vice President, Treasure
Phone
(781) 699-2668

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X PA
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X PA Primary
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X PA
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X PA

Addresses

Primary practice location

360 Walmart Dr
Uniontown, PA 15401-3109

Mailing address

920 Winter St
Fmcna CKD Services 3W-16
Waltham, MA 02451-1521
Phone (781) 699-4160

Other identifiers 1

IdentifierTypeStateIssuer
102264056 0001MedicaidPA

Other names 1

  • CKD Services of Uniontown Doing business as

National Provider Directory

National Provider Directory

Locations

920 Winter St
#3W16
Waltham, MA 02451

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1982872248",
    "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": "360 WALMART DR",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154013109",
            "telephone_number": "724-832-8169",
            "fax_number": "724-439-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS INC",
        "enumeration_date": "2008-02-20",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "VICE PRESIDENT, TREASURE",
        "authorized_official_telephone_number": "781-699-2668"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102264056 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CKD Services of Uniontown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Uniontown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.