Active NPI
Fresenius Medical Care Comprehensive CKD SE
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Uniontown, PA
National Provider Identifier
1982872248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- 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 INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 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 Practitioner | 363LA2100X | PA | ||
| Family Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102264056 0001 | Medicaid | PA |
Other names 1
- CKD Services of Uniontown
National Provider Directory
National Provider DirectoryLocations
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.