FRESENIUS MEDICAL CARE - JACKSON PIKE ASSOCIATES DIALYSIS CENTER, LLC (NPI# 1215161880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215161880 |
| Entity Type | Organization |
| Organization Name | FRESENIUS MEDICAL CARE - JACKSON PIKE ASSOCIATES DIALYSIS CENTER, LLC |
| Other Organization Name | FRESENIUS MEDICAL CARE EAST STATE STREET DIALYSIS |
| Practice Address |
2005 E State St Ste C Athens OH 45701-2125 |
| Practice Telephone | 7405926300 |
| Practice Fax Number | 7405926322 |
| Mailing Telephone | 7405926300 |
| Mailing Fax Number | 7405926322 |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2017-04-05 |
| Authorized Official Name | MARK FAWCETT (SENIOR 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 East State Street Dialysis | Doing Business As Name - Organization |
| Street Address |
2005 E STATE ST STE C |
| City | ATHENS |
| State | OH |
| Zip Code | 45701-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508797 | Vince R Koping | Pharmacist | 929 East State St, Athens, OH 45701 | 2020-11-06 |
| 1164051926 | Rachel Staker | Student in an Organized Health Care Education/Training Program | 86 Circle Drive, Suite 203, Athens, OH 45701 | 2020-04-03 |
| 1932736709 | Maria Augusta Suarez-hamman | Student in an Organized Health Care Education/Training Program | 86 Columbus Circle, Suite 203, Athens, OH 45701 | 2020-03-23 |
| 1831746882 | Justin Joseph Moakler | Specialist/Technologist | Ohio University Athens Training Facility, Grover Center E 187, Athens, OH 45701 | 2019-08-23 |
| 1275186991 | Barry Brady | Psychologist | Hudson Health Center, 3rd Floor 1 Ohio University, Athens, OH 45701 | 2019-07-22 |
| 1821559691 | Mary N Lee | Student in an Organized Health Care Education/Training Program | 1 Ohio Univerisity Dept of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2019-03-26 |
| 1275007692 | Gabrielle Ruth Wesemeyer | Student in an Organized Health Care Education/Training Program | 6 South Congress Street, Athens, OH 45701 | 2019-01-18 |
| 1528551918 | Bradford Thomas Meyers | Psychologist | 1 University Ave, Ohio University, Athens, Oh 45701, Athens, OH 45701 | 2018-06-11 |
| 1912499344 | William Monopoli | Student in an Organized Health Care Education/Training Program | 1 Ohio University Department of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2018-06-01 |
| 1477044113 | 59 Green Ltd. | Taxi | 14 Cook Drive, Athens, OH 45701 | 2018-05-29 |
| Find all providers in zip 45701 | ||||
| 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 |
|---|---|---|---|---|
| 1619441524 | Nephron Corporation | Clinic/Center | 210 Hawthorne Park, Athens, GA 30606-2148 | 2019-01-14 |
| 1306336383 | Adair Dialysis LLC | Clinic/Center | 1686 Prince Ave, Athens, GA 30606-6021 | 2018-05-15 |
| 1164700191 | Renal Treatment Centers Southeast Lp | Clinic/Center | 16236 Lucas Ferry Rd, Athens, AL 35611-3931 | 2011-07-25 |
| 1871729855 | Classic City Dialysis Inc | Clinic/Center | 2485 Jefferson Road, Athens, GA 30606-2100 | 2009-06-04 |
| 1609012202 | Total Renal Care Inc | Clinic/Center | 1006 E State St, Ste B, Athens, OH 45701-2158 | 2009-01-02 |
| 1558556514 | Total Renal Care Inc | Clinic/Center | 2026 S Milledge Ave Ste A2, Athens, GA 30605-6480 | 2007-09-12 |
| 1972615854 | Renal Care Group Texas Inc | Clinic/Center | 1220 S Palestine St, Athens, TX 75751-3619 | 2006-08-31 |
| 1639199391 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 943 Decatur Pike, Athens, TN 37303-3037 | 2006-07-19 |
| 1982647608 | Renal Center of Athens, Lllp | Clinic/Center | 212 Cayuga Drive, Athens, TX 75751 | 2006-06-13 |
| 1942272414 | Dva Healthcare Renal Care Inc | Clinic/Center | 15953 Athens Limestone Dr, Athens, AL 35613-2214 | 2006-02-07 |
| Find all providers in ATHENS | ||||
Please comment or provide details below to improve the information on FRESENIUS MEDICAL CARE - JACKSON PIKE ASSOCIATES DIALYSIS CENTER, 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.