FRESENIUS MEDICAL CARE MIDWEST DIALYSIS, LLC


Address: 6804 Green Bay Rd, Suite 108, Kenosha, WI 53142-1452
Phone: 2626976323

FRESENIUS MEDICAL CARE MIDWEST DIALYSIS, LLC (NPI# 1952647737) 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) 1952647737
Entity Type Organization
Organization Name FRESENIUS MEDICAL CARE MIDWEST DIALYSIS, LLC
Other Organization Name FRESENIUS MEDICAL CARE MIDWEST KENOSHA
Practice Address 6804 Green Bay Rd
Suite 108
Kenosha
WI 53142-1452
Practice Telephone 2626976323
Practice Fax Number 2626976308
Mailing Telephone 2626976323
Mailing Fax Number 2626976308
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 Kenosha 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
1861738643 Fresenius Medical Care Midwest Dialysis, LLC Clinic/Center 5409 Durand Ave, Mt Pleasant, WI 53406-5008 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 6804 GREEN BAY RD
SUITE 108
City KENOSHA
State WI
Zip Code 53142-1452

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174556856 Midwest Kidney Care, LLC Clinic/Center 6804 Green Bay Rd, Suite 108, Kenosha, WI 53142-1452 2006-07-08
1588282255 Cheri Stoka 6804 Green Bay Rd, Kenosha, WI 53142-1452 2020-07-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588297816 Caring Hearts Home Health Care In Home Supportive Care 6021-57th Ave, Suite C103, Kenosha, WI 53142 2020-02-14
1144785395 Michael L Wrzesinski Counselor 4109 67th Street, Kenosha, WI 53142 2019-02-01
1720538499 David Smith Counselor 10900 67th Street, Kenosha, WI 53142 2016-10-06
1326404641 Smile Doctors Ltd Dentist 7003 39th Ave, Kenosha, WI 53142 2016-01-04
1225409485 Antonia Marie Decker Physician Assistant 10400 75th St. Ste 204, Kenosha, WI 53142 2015-10-14
1780060582 Joshua Haas Pharmacist 7701 Green Bay Road, Kenosha, IL 53142 2015-08-04
1811379225 Dana Mary Stout Registered Nurse 7401 104th Avenue, Suite 110, Comprehensive Orthopaedics, S.c., Kenosha, WI 53142 2015-06-22
1669815569 Joshua Knute Elson Radiology 6811 118th Ave, Kenosha, WI 53142 2013-04-10
1356610166 Michael J Gallo Pharmacist 7535 North Greenbay Rd, Kenosha, WI 53142 2011-12-22
1720357999 Orest Carnevale Registered Nurse 7316 155th Ct, Kenosha, WI 53142 2011-12-18
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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
1174556856 Midwest Kidney Care, LLC Clinic/Center 6804 Green Bay Rd, Suite 108, Kenosha, WI 53142-1452 2006-07-08
1720283302 Kidney Replacement Therapies, Sc Clinic/Center 6125 Green Bay Rd, Suite 100, Kenosha, WI 53142-2928 2007-06-15
1730219924 Kenosha Kidney Dialysis LLC Clinic/Center 6125 Green Bay Rd, Suite 100, Kenosha, WI 53142-2942 2007-03-06
1003831132 Froedtert South, Inc. Clinic/Center 6308 8th Ave, Kenosha, WI 53143-5031 2006-07-12

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 KENOSHA
Zip Code 53142

Improve Information

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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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