FRESENIUS MEDICAL CARE INDIANA, LLC (NPI# 1962943019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962943019 |
| Entity Type | Organization |
| Organization Name | FRESENIUS MEDICAL CARE INDIANA, LLC |
| Other Organization Name | FRESENIUS KIDNEY CARE SOUTHPORT |
| Practice Address |
6826 Madison Ave Indianapolis IN 46227 |
| Mailing Address |
6826 Madison Ave Indianapolis IN 46227-5000 |
| Practice Telephone | 3177918362 |
| Practice Fax Number | 3177918799 |
| Mailing Telephone | 3177918362 |
| Mailing Fax Number | 3177918799 |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2018-05-17 |
| Authorized Official Name | MARK R FAWCETT (SENIOR VP & 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 Southport | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548779663 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 9140 Harrison Park Ct, Indianapolis, IN 46216 | 2017-09-20 |
| 1467811570 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6701 E 21st St, Indianapolis, IN 46219 | 2016-02-17 |
| 1750740858 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 1350 E County Line Rd Ste L, Indianapolis, IN 46227-0900 | 2016-02-17 |
| 1578922761 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 7155 Shadeland Station Way, Suite 130, Indianapolis, IN 46256 | 2016-02-16 |
| 1588023683 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 1225 W 86th St, Indianapolis, IN 46260-2203 | 2016-02-17 |
| 1114386216 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 165 Sheridan Rd, Noblesville, IN 46060-1310 | 2016-02-17 |
| 1841659943 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 12400 N Meridian St, Suite 200, Carmel, IN 46032-4600 | 2016-02-17 |
| 1205295300 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 805 Beachway Dr, Indianapolis, IN 46224-7788 | 2016-02-17 |
| 1023477122 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 2500 Parkway Dr, Shelbyville, IN 46176-8677 | 2016-02-17 |
| 1932568037 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 3007 Dr Andrew J Brown Ave, Indianapolis, IN 46205-4026 | 2016-02-17 |
| Street Address |
6826 MADISON AVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679184477 | Zachry Skinner | Specialist/Technologist | 1683 E Hanna Ave, Indianapolis, IN 46227 | 2020-08-14 |
| 1104481415 | Corinne Mcdonald | Music Therapist | 7502 Madison Avenue, Indianapolis, IN 46227 | 2019-05-02 |
| 1205318649 | Kesha Conner | Counselor | 8320 Madison Ave Indianapolis, In, Indianapolis, IN 46227 | 2018-09-01 |
| 1609369719 | Victoria Lynn West Arnold | Physician Assistant | 1550 E County Line Rd Ste 320, Indianapolis, IN 46227 | 2018-06-13 |
| 1518466960 | Debra Cottongim | Physical Therapy Assistant | 6329 South East St, Ste A, Indianapolis, IN 46227 | 2018-02-12 |
| 1205386687 | Kylie Rochelle Bontrager | Dentist | 3658 East Street, Indianapolis, IN 46227 | 2016-10-10 |
| 1013371137 | Kayla Ford | Occupational Therapist | 3230 Rue Chanel, Apt 162, Indianapolis, IN 46227 | 2016-04-06 |
| 1639551344 | Sara Allyn Shrivastav | Technician, Other | 3711 E Southport Rd, Indianapolis, IN 46227 | 2015-06-18 |
| 1598146565 | Theodore Christian Seger | Family Medicine | 610 E Southport Rd Ste 205, Indianapolis, IN 46227 | 2015-06-15 |
| 1629456017 | Elizabeth Claire Mazzone | Obstetrics & Gynecology | 1550 E County Line Rd Ste 300, Indianapolis, IN 46227 | 2015-05-18 |
| Find all providers in zip 46227 | ||||
| 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 |
|---|---|---|---|---|
| 1174006662 | Isd Renal Inc | Clinic/Center | 2636 W Michigan St, Indianapolis, IN 46222-3727 | 2018-09-11 |
| 1720598386 | Molera Dialysis LLC | Clinic/Center | 3820 N College Ave, Indianapolis, IN 46205-2755 | 2017-10-09 |
| 1548779663 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 9140 Harrison Park Ct, Indianapolis, IN 46216 | 2017-09-20 |
| 1205366416 | Isd Renal Inc | Clinic/Center | 1218 N Pennsylvania St, Indianapolis, IN 46202-2411 | 2017-06-20 |
| 1487183976 | Isd Renal Inc | Clinic/Center | 8803 N Meridian St Ste 150, Indianapolis, IN 46260-5376 | 2017-06-08 |
| 1588193544 | Isd Renal Inc | Clinic/Center | 550 University Blvd Rm 1140, Indianapolis, IN 46202-5149 | 2017-06-05 |
| 1467811570 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6701 E 21st St, Indianapolis, IN 46219 | 2016-02-17 |
| 1750740858 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 1350 E County Line Rd Ste L, Indianapolis, IN 46227-0900 | 2016-02-17 |
| 1578922761 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 7155 Shadeland Station Way, Suite 130, Indianapolis, IN 46256 | 2016-02-16 |
| 1912333758 | Silverwood Dialysis LLC | Clinic/Center | 1208 N Arlington Ave, Indianapolis, IN 46219-3203 | 2013-09-25 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46227 |
Please comment or provide details below to improve the information on FRESENIUS MEDICAL CARE INDIANA, 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.