FRESENIUS MEDICAL CARE SPRINGFIELD EAST, LLC (NPI# 1144712100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144712100 |
| Entity Type | Organization |
| Organization Name | FRESENIUS MEDICAL CARE SPRINGFIELD EAST, LLC |
| Other Organization Name | FRESENIUS KIDNEY CARE SPRINGFIELD EAST |
| Practice Address |
140 S. Martin Luther King Jr. Drive Springfield IL 62703 |
| Practice Telephone | 2178019096 |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-07-17 |
| Authorized Official Name | MARK FAWCETT (SENIOR VICE PRESIDENT & 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 Kidney Care Springfield East | Doing Business As Name - Organization |
| Street Address |
140 S. MARTIN LUTHER KING JR. DRIVE |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790260917 | Jessica Lynne Zeeck | Behavior Technician | 5220 6th Street Frontage Road, E Suite 1700, Springfield, IL 62703 | 2018-10-03 |
| 1215415799 | Bree Schmulbach | Nurse Practitioner | Bsb Room 20, Springfield, IL 62703 | 2018-08-06 |
| 1558889170 | Ji Woung Choi | Dentist | 687 E Linton Ave., Springfield, IL 62703 | 2017-09-04 |
| 1477006161 | Encompass Home Health of The Midwest,llc | Home Health | 2970 Baker Dr, Springfield, IL 62703 | 2016-07-28 |
| 1851706824 | Terah Louise Holland | Obstetrics & Gynecology | 1100 E Lincolnshire Blvd Ste 200, Springfield, IL 62703 | 2014-06-27 |
| 1578993101 | Corey Moore | Behavioral Analyst | 5520 South 6th Street Road, Suite 1700, Springfield, IL 62703 | 2013-11-18 |
| 1134463052 | The Center for Youth and Family Solutions Inc. | Voluntary or Charitable | 614 North Sixth Street, Springfield, IL 62703 | 2012-11-15 |
| 1447519111 | Tenshi Furumi | Specialist/Technologist | One University Plaza, Univ. of Illinois-springfield, Ms Rec 2004, Springfield, IL 62703 | 2012-05-15 |
| 1447558390 | Shalini Mulkanoor | Family Medicine | 1100 E. Lincolnshire Blvd., Suite 200, Springfield, IL 62703 | 2011-03-02 |
| 1497050652 | Family Service Center of Sangamon County | Foster Care Agency | 730 E. Vine St, Springfield, IL 62703 | 2011-01-20 |
| Find all providers in zip 62703 | ||||
| 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 |
|---|---|---|---|---|
| 1598212177 | Fresenius Medical Care Koke Mill, LLC | Clinic/Center | 2550 Koke Mill Dr., Springfield, IL 62707-9997 | 2016-09-01 |
| 1528444288 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3359 W Kearney St, Springfield, MO 65803-2008 | 2015-08-05 |
| 1922422112 | Fresenius Medical Care Dialysis Services Oregon LLC | Clinic/Center | 350 Q St, Springfield, OR 97477-2140 | 2014-02-10 |
| 1598016305 | Pacheco Dialysis LLC | Clinic/Center | 1007 E Kearney St, Springfield, MO 65803-3433 | 2012-09-20 |
| 1659654010 | Total Renal Care Inc | Clinic/Center | 2930 S 6th St, Springfield, IL 62703-5944 | 2011-09-22 |
| 1346535051 | National Trail Dialysis LLC | Clinic/Center | 171 S Tuttle Rd, Springfield, OH 45505-1560 | 2011-06-10 |
| 1437244027 | Rai Care Centers of Illinois II, LLC | Clinic/Center | 1112 Centre West Drive, Springfield, IL 62704-2100 | 2006-10-03 |
| 1093827891 | Qualicenters Eugene-springfield, Ltd. | Clinic/Center | 304 Q St, Springfield, OR 97477-2140 | 2006-08-31 |
| 1548372360 | Dialysis Associates, LLC | Clinic/Center | 106 Mooreland Dr, Springfield, TN 37172-3945 | 2006-08-31 |
| 1497867360 | Kdco, Inc. | Clinic/Center | 2003 E Sunshine St, Springfield, MO 65804-1839 | 2006-08-31 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62703 |
Please comment or provide details below to improve the information on FRESENIUS MEDICAL CARE SPRINGFIELD EAST, 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.