FRESENIUS MEDICAL CARE MIDWEST DIALYSIS, LLC


Address: 5409 Durand Ave, Mt Pleasant, WI 53406-5008
Phone: 2625988727

FRESENIUS MEDICAL CARE MIDWEST DIALYSIS, LLC (NPI# 1861738643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861738643
Entity Type Organization
Organization Name FRESENIUS MEDICAL CARE MIDWEST DIALYSIS, LLC
Other Organization Name FRESENIUS MEDICAL CARE MIDWEST RACINE
Practice Address 5409 Durand Ave
Mt Pleasant
WI 53406-5008
Practice Telephone 2625988727
Practice Fax Number 2625988836
Mailing Telephone 2625988727
Mailing Fax Number 2625988836
Enumeration Date 2012-12-24
Last Update Date 2012-12-24
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.

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Fresenius Medical Care Midwest Racine Doing Business As Name - Organization

Other Provider IDs and Locations

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
1134465917 Fresenius Medical Care Midwest Dialysis, LLC Clinic/Center 2000 E Layton Ave, Suite 200, St Francis, WI 53235-6053 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

Office Location

Street Address 5409 DURAND AVE
City MT PLEASANT
State WI
Zip Code 53406-5008

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578164349 Lynn Huynh Pharmacist 5695 Washington Ave, Racine, WI 53406 2020-11-06
1659920049 Carol Jean Cornejo Technician 6528 Heritage Avenue, Mt Pleasant, WI 53406 2019-09-09
1265913958 Mary Goldbeck Social Worker 1775 Newman Rd, Mt Pleasant, WI 53406 2018-08-22
1669963344 Kelly Nicole Nelson Registered Nurse 8800 Washington Ave Ste 200, Mount Pleasant, WI 53406 2018-05-29
1891212163 Ilona Agata Pryomski Nurse Practitioner 9201 Washington Ave, Racine, WI 53406 2017-08-27
1386185106 Margaret M. Abaogye Dds Dentist 4340 Newman Rd., Racine, WI 53406 2017-03-13
1508309212 Rebecca Koeppen Dietitian, Registered 8400 Washington Ave., Racine, WI 53406 2016-11-29
1386194371 Forefront Dermatology, S.c. Dermatology 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 2016-10-13
1356891402 Forefront Dermatology, S.c. Dermatology 1515 S Green Bay Rd, Racine, WI 53406 2016-10-12
1861841470 Leah Marie Johnson Dentist 1101 South Airline Road, Racine, WI 53406 2016-06-06
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518435718 Bio-medical Applications of Texas, Inc. Clinic/Center 1407 N Jefferson Ave, Mt Pleasant, TX 75455-2450 2018-11-06
1902918873 Renal Care Group Texas, Inc. Clinic/Center 628 S Jefferson Ave, Mt Pleasant, TX 75455-4842 2006-08-31
1104859586 Dialysis Clinic Inc. Clinic/Center 1088 Johnnie Dodds Blvd, Mt Pleasant, SC 29464-3142 2006-07-08
1306880687 Midmichigan Medical Center- Gratiot Clinic/Center 404 S Crapo St, Mt Pleasant, MI 48858-2944 2006-06-16
1497711386 Southeastern Renal Dialysis L.c. Clinic/Center 507 S White St, Mt Pleasant, IA 52641-2625 2006-04-21
1770868911 Total Renal Care Inc Clinic/Center 404 S Crapo St, Mt Pleasant, MI 48858-2944 2011-10-19

Providers in the same taxonomy and state

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
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Competitor

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City MT PLEASANT
Zip Code 53406

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Dataset Information

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.

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