FRESENIUS MEDICAL CARE 5856, LLC (NPI# 1174686513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174686513 |
| Entity Type | Organization |
| Organization Name | FRESENIUS MEDICAL CARE 5856, LLC |
| Other Organization Name | SOUTH OKLAHOMA CITY DIALYSIS CENTER |
| Practice Address |
5419 S Western Ave Oklahoma City OK 73109-4506 |
| Practice Telephone | 4056361570 |
| Practice Fax Number | 4056321835 |
| Mailing Telephone | 4056361570 |
| Mailing Fax Number | 4056321835 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2015-10-15 |
| Authorized Official Name | MARK R FAWCETT (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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | J1430173633 | 05 |
| Other Name | Type Code |
|---|---|
| South Oklahoma City Dialysis Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356401756 | Fresenius Medical Care 5856, LLC | Clinic/Center | 7201 Cherokee Plz, Warr Acres, OK 73132-5907 | 2006-12-08 |
| 1255804480 | Fresenius Medical Care 5856, LLC | Clinic/Center | 200 Ne 50th St, Oklahoma City, OK 73105-1812 | 2019-01-10 |
| Street Address |
5419 S WESTERN AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73109-4506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063905354 | Housecalls | Family Medicine | 4413 S Lee Ave, Oklahoma City, OK 73109 | 2018-06-11 |
| 1225559404 | John Nathan Jacobsen | Dentist | 235 Sw 25th St., Oklahoma City, OK 73109 | 2017-06-28 |
| 1659828648 | Cynthia Jane Laney | Registered Nurse | 4401 South Western, Oklahoma City, OK 73109 | 2016-09-07 |
| 1497104780 | Hazel Soto | Case Manager/Care Coordinator | 420 Sw, St, Oklahoma, OK 73109 | 2016-06-07 |
| 1063873677 | Ardeceley Brandi Annette Hernandez | Community/Behavioral Health | 5714 S. Western Ave, Oklahoma City, OK 73109 | 2016-03-09 |
| 1316343908 | Van Ngo | Nurse Practitioner | 4413 South Lee Ave, Oklahoma City, OK 73109 | 2014-11-10 |
| 1104249150 | Janessa Ladawn Bointy | Counselor | 5359 S. Western Ave. #707, Oklahoma City, OK 73109 | 2014-01-28 |
| 1033540299 | Bryan Graham | Case Manager/Care Coordinator | 1111 Sw 28th St, Oklahoma City, OK 73109 | 2013-12-12 |
| 1154684603 | Nubia Fiesel | Counselor | 420 Sw 10th Street, Oklahoma City, OK 73109 | 2012-06-20 |
| 1548533664 | C.c. Freeman, Md. Inc | Internal Medicine | 4221 S. Western Ave., Suite 2015, Oklahoma City, OK 73109 | 2012-02-21 |
| Find all providers in zip 73109 | ||||
| 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 |
|---|---|---|---|---|
| 1043820111 | Midtown Home Dialysis LLC | Clinic/Center | 621 Nw 6th St, Oklahoma City, OK 73102-1203 | 2020-08-04 |
| 1346879640 | Fresenius Medical Care Okcd, LLC | Clinic/Center | 3012 Nw 150th St, Oklahoma City, OK 73134-2030 | 2020-04-07 |
| 1124509245 | Renal Treatment Centers West Inc | Clinic/Center | 6917 N May Ave, Oklahoma City, OK 73116-3238 | 2018-08-27 |
| 1942578422 | Rusk Dialysis. LLC | Clinic/Center | 1059 Se 82nd St, Oklahoma City, OK 73149-2999 | 2011-12-12 |
| 1851621213 | Cleveland Nephrologists, Pllc | Clinic/Center | 1059 Se 82nd, Oklahoma City, OK 73149-2902 | 2010-01-07 |
| 1710214788 | Fresenius Medical Care Central Oklahoma City Dialysis Center, LLC | Clinic/Center | 3107 Nw 50th St, Oklahoma City, OK 73112-5302 | 2009-11-11 |
| 1295882397 | Bio-medical Applications of Oklahoma, Inc. | Clinic/Center | 200 Ne 50th St, Oklahoma City, OK 73105-1812 | 2007-01-04 |
| 1265592661 | Fresenius Integris, LLC | Clinic/Center | 3806 N Barr Ave, Oklahoma City, OK 73122-2410 | 2006-12-08 |
| 1285746172 | Bio-medical Applications of Oklahoma, Inc. | Clinic/Center | 1011 N Dewey Ave Ste 300, Oklahoma City, OK 73102-1024 | 2006-08-31 |
| 1659483527 | Nna of Oklahoma, L.L.C. | Clinic/Center | 5401 N Portland Ave Ste 280, Oklahoma City, OK 73112-2082 | 2006-08-31 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73109 |
Please comment or provide details below to improve the information on FRESENIUS MEDICAL CARE 5856, 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.