FRESENIUS MEDICAL CARE MIDWEST DIALYSIS, LLC (NPI# 1134465917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134465917 |
| Entity Type | Organization |
| Organization Name | FRESENIUS MEDICAL CARE MIDWEST DIALYSIS, LLC |
| Other Organization Name | FRESENIUS MEDICAL CARE MIDWEST LAKESHORE |
| Practice Address |
2000 E Layton Ave Suite 200 St Francis WI 53235-6053 |
| Practice Telephone | 4147444343 |
| Practice Fax Number | 4147444399 |
| Mailing Telephone | 4147444343 |
| Mailing Fax Number | 4147444399 |
| Enumeration Date | 2012-12-24 |
| Last Update Date | 2016-01-27 |
| Authorized Official Name | MARK R. FAWCETT (VP AND TREASURER) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Fresenius Medical Care Midwest Lakeshore | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316570989 | Fresenius Medical Care Midwest Dialysis, LLC | Clinic/Center | 5125 W Morgan Ave, Greenfield, WI 53220-1540 | 2020-02-21 |
| 1366788143 | Fresenius Medical Care Midwest Dialysis, LLC | Clinic/Center | 2600 W Howard Ave, Milwaukee, WI 53221-1992 | 2012-12-23 |
| 1023354867 | Fresenius Medical Care Midwest Dialysis, LLC | Clinic/Center | 3120 S 27th St, Milwaukee, WI 53215-4338 | 2012-12-26 |
| 1043556822 | Fresenius Medical Care Midwest Dialysis, LLC | Clinic/Center | 7793 W Appleton Ave, Milwaukee, WI 53222-2009 | 2012-12-24 |
| 1952647737 | Fresenius Medical Care Midwest Dialysis, LLC | Clinic/Center | 6804 Green Bay Rd, Suite 108, Kenosha, WI 53142-1452 | 2012-12-24 |
| 1861738643 | Fresenius Medical Care Midwest Dialysis, LLC | Clinic/Center | 5409 Durand Ave, Mt Pleasant, WI 53406-5008 | 2012-12-24 |
| 1225374010 | Fresenius Medical Care Midwest Dialysis, LLC | Clinic/Center | 7701 W Clinton Ave, Milwaukee, WI 53223-4527 | 2012-12-24 |
| 1497091284 | Fresenius Medical Care Midwest Dialysis, LLC | Clinic/Center | 400 W Estabrook Blvd, Glendale, WI 53212-1079 | 2012-12-24 |
| 1770829558 | Fresenius Medical Care Midwest Dialysis, LLC | Clinic/Center | 111 Ann St, Waukesha, WI 53188-2263 | 2012-12-24 |
| 1689910465 | Fresenius Medical Care Midwest Dialysis, LLC | Clinic/Center | 2050 Continental Dr, West Bend, WI 53095-7848 | 2012-12-24 |
| Street Address |
2000 E LAYTON AVE SUITE 200 |
| City | ST FRANCIS |
| State | WI |
| Zip Code | 53235-6053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568467512 | Jeffrey P Hall | Podiatrist | 2000 E Layton Ave, St Francis, WI 53235-6053 | 2005-06-16 |
| 1366001331 | Arthur Agostini | Specialist/Technologist | 2000 E Layton Ave, St Francis, WI 53235-6053 | 2019-06-12 |
| 1508421728 | Alison Marie Damato | Nurse Practitioner | 2000 E Layton Ave, St Francis, WI 53235-6053 | 2019-05-02 |
| 1356843775 | Krystle K Stolzel | Nurse Practitioner | 2000 E Layton Ave, St Francis, WI 53235-6053 | 2018-03-01 |
| 1174037667 | Brittany Ward | Nurse Practitioner | 2000 E Layton Ave, St Francis, WI 53235-6053 | 2017-11-20 |
| 1225548712 | Bao Xiong | Nurse Practitioner | 2000 E Layton Ave, St Francis, WI 53235-6053 | 2017-10-10 |
| 1306363551 | Heidi Lee Newton | Occupational Therapist | 2000 E Layton Ave, St Francis, WI 53235-6053 | 2017-08-28 |
| 1336664143 | Sonya Marie Videkovich | Physician Assistant | 2000 E Layton Ave, St Francis, WI 53235-6053 | 2017-08-14 |
| 1992231823 | Carrie Getka | Specialist/Technologist | 2000 E Layton Ave, St Francis, WI 53235 | 2017-05-11 |
| 1811439615 | Vicki Roth | Physical Therapist | 2000 E Layton Ave, Suite 160, St Francis, WI 53235-6053 | 2016-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689068140 | Asma Sayeed | Family Medicine | 2000 E Layton Ave Ste 130, St Francis, WI 53235 | 2015-03-23 |
| 1144261827 | Mark Andrew Beilke | Internal Medicine | 4110 S. Lake Drive, Unit 47, St. Francis, WI 53235 | 2006-06-10 |
| 1013961200 | Melanie Danielson | Pharmacist | 2000 E Layton Ave., St Francis, WI 53235 | 2006-05-20 |
| 1861903130 | John Elmer Bukowski | Physician Assistant | 2000 E Layton Ave Ste 130, St Francis, WI 53235 | 2017-10-13 |
| 1790758951 | Andre Daniel | Specialist/Technologist | 3501 S Lake Dr, Milwaukee, WI 53235-0900 | 2006-02-08 |
| 1477067205 | Matthew Seipel | Registered Nurse | 1930 E Saint Francis Ave, St Francis, WI 53235-3633 | 2017-12-01 |
| 1093222721 | M Seipel LLC | Registered Nurse | 1930 E Saint Francis Ave, Saint Francis, WI 53235-3633 | 2018-01-03 |
| 1366714008 | Kathy Snopek | Registered Nurse | 2115 E Saint Francis Ave, St Francis, WI 53235-3636 | 2012-01-26 |
| 1629079132 | St Ann Center for Intergenerational Care Inc | Licensed Practical Nurse | 3221 S Lake Dr, Milwaukee, WI 53235-3702 | 2005-08-09 |
| 1629327531 | Lorenna Wilson | Licensed Practical Nurse | 3221 S Lake Dr, St Francis, WI 53235-3702 | 2012-09-06 |
| Find all providers in zip 53235 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679171599 | Dubuque Internal Medicine, PC | Clinic/Center | 190 N Orange St, Richland Center, WI 53581-2163 | 2020-10-13 |
| 1316570989 | Fresenius Medical Care Midwest Dialysis, LLC | Clinic/Center | 5125 W Morgan Ave, Greenfield, WI 53220-1540 | 2020-02-21 |
| 1992352082 | Fresenius Kidney Care Madison, LLC | Clinic/Center | 4600 American Pkwy Ste 102, Madison, WI 53718-8334 | 2019-08-22 |
| 1770040859 | Fresenius Medical Care Oshkosh, LLC | Clinic/Center | 2700 W 9th Ave Ste 101a, Oshkosh, WI 54904-7201 | 2019-02-26 |
| 1972008704 | Midwest Legacy Capital LLC | Clinic/Center | W4233 State Rd 54, Black Creek, WI 54106-8633 | 2018-03-26 |
| 1841792603 | Wisconsin Renal Care Group, L.L.C. | Clinic/Center | 17500 W Capitol Drive, Brookfield, WI 53045 | 2018-03-07 |
| 1992212286 | Total Renal Care Inc | Clinic/Center | 733 E Capitol Dr, Milwaukee, WI 53212 | 2018-01-08 |
| 1023527058 | Bio-medical Applications of Wisconsin, Inc. | Clinic/Center | 2831 Okeeffe Ave, Sun Prairie, WI 53590-7057 | 2017-09-21 |
| 1093234569 | Fresenius Medical Care Milwaukee, LLC | Clinic/Center | 2615 W Silver Spring Dr, Milwaukee, WI 53209-4219 | 2017-09-15 |
| 1770010928 | Total Renal Care Inc | Clinic/Center | 9127 N 76th St, Milwaukee, WI 53223-1905 | 2017-05-18 |
| Find all providers with the same taxonomy | ||||
| City | ST FRANCIS |
| Zip Code | 53235 |
Please comment or provide details below to improve the information on FRESENIUS MEDICAL CARE MIDWEST DIALYSIS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.