FRESENIUS MEDICAL CARE FORT WAYNE, LLC (NPI# 1518388461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518388461 |
| Entity Type | Organization |
| Organization Name | FRESENIUS MEDICAL CARE FORT WAYNE, LLC |
| Other Organization Name | FRESENIUS MEDICAL CARE FORT DEKALB COUNTY DIALYSIS |
| Practice Address |
1144 W 15th St Auburn IN 46706-2096 |
| Practice Telephone | 2609271309 |
| Practice Fax Number | 2609271322 |
| Mailing Telephone | 2609271309 |
| Mailing Fax Number | 2609271322 |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2013-12-19 |
| 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. |
| 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 Fort DeKalb County Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215358825 | Fresenius Medical Care Fort Wayne, LLC | Clinic/Center | 1797 W Kem Rd, Marion, IN 46952-1733 | 2013-12-27 |
| 1306267257 | Fresenius Medical Care Fort Wayne, LLC | Clinic/Center | 2859 Northpark Ave, Suite 112, Huntington, IN 46750-7964 | 2013-12-19 |
| 1104247154 | Fresenius Medical Care Fort Wayne, LLC | Clinic/Center | 817 S 13th St, Decatur, IN 46733-1891 | 2013-12-18 |
| 1154742120 | Fresenius Medical Care Fort Wayne, LLC | Clinic/Center | 25 W 2nd St, Peru, IN 46970-2160 | 2013-12-18 |
| 1760803712 | Fresenius Medical Care Fort Wayne, LLC | Clinic/Center | 1850 E 2nd St, Suites 1846 & 1850, Defiance, OH 43512-2502 | 2013-12-18 |
| 1457772410 | Fresenius Medical Care Fort Wayne, LLC | Clinic/Center | 3334 Lake City Hwy, Warsaw, IN 46580-3923 | 2013-12-18 |
| 1952722076 | Fresenius Medical Care Fort Wayne, LLC | Clinic/Center | 537 W High St, Bryan, OH 43506-1619 | 2013-12-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | FRESENIUS MEDICAL CARE FORT WAYNE, LLC | 920 Winter St, Waltham, MA 02451 |
| Street Address |
1144 W 15TH ST |
| City | AUBURN |
| State | IN |
| Zip Code | 46706-2096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912128422 | Rcg Indiana LLC | Clinic/Center | 1144 W 15th St, Auburn, IN 46706-2096 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942843701 | Lara Maria Lahr | Advanced Practice Midwife | Auburn Ob/gyn, 1316 East 7th Street Suite 2, Auburn, IN 46706 | 2019-10-24 |
| 1982180501 | Kersten L. Weigle | Nurse Practitioner | 1310 E 7th St Ste F, Auburn, IN 46706 | 2018-07-17 |
| 1902267057 | Crystal Nicole Kennedy | Nurse Practitioner | 1306 E 7th St#c, Auburn, IN 46706 | 2016-03-17 |
| 1902264203 | Andrew Delagrange | Student in an Organized Health Care Education/Training Program | 1021 Eckhart Avenue, Auburn, IN 46706 | 2016-02-02 |
| 1164839007 | Morgan Ariel Buchs | Physical Therapist | 353 N. Grandstaff Dr., Auburn, IN 46706 | 2014-07-11 |
| 1407139546 | Stacy Marie Smith | Registered Nurse | 1310 E 7th St., Ste J, Auburn, IN 46706 | 2011-09-26 |
| 1518262807 | Kori B Engdahl | Advanced Practice Midwife | 1310 East 7th Street, Suite M, Auburn, IN 46706 | 2011-01-18 |
| 1588986541 | Jack Phillip Covell | General Practice | 5631 Co Rd 29, Auburn, IN 46706 | 2010-02-18 |
| 1396914271 | Midwest Eye Consultants, P.C. | Optometrist | 750 N. Grandstaff Dr., Auburn, IN 46706 | 2008-02-26 |
| 1700077013 | Tyler Elliott Helm | Physical Therapist | 510 N. Grandstaff Dr., Auburn, IN 46706 | 2007-08-05 |
| Find all providers in zip 46706 | ||||
| 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 |
|---|---|---|---|---|
| 1831603638 | Auburn Health LLC | Clinic/Center | 771 Southbridge St Ste 1, Auburn, MA 01501-1345 | 2017-12-01 |
| 1912128422 | Rcg Indiana LLC | Clinic/Center | 1144 W 15th St, Auburn, IN 46706-2096 | 2007-05-01 |
| 1881789006 | Northwest Kidney Centers | Clinic/Center | 1501 W Valley Hwy N Ste 104, Auburn, WA 98001-1606 | 2006-10-04 |
| 1881706620 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 211 E University Dr, Auburn, AL 36832-6800 | 2006-08-31 |
| 1215959705 | Dialysis Clinic Inc. | Clinic/Center | 21 Nelson St, Auburn, NY 13021-2601 | 2006-07-24 |
| 1518983592 | Bio-medical Applications of Maine, Inc. | Clinic/Center | 1100 Minot Ave, Auburn, ME 04210-3739 | 2006-07-14 |
| 1043266745 | Isd Renal Inc | Clinic/Center | 528 N Grandstaff Dr, Auburn, IN 46706-1660 | 2006-05-25 |
| 1275893315 | Auburn Investments LLC | Clinic/Center | 1751 Wesley Rd, Auburn, IN 46706-3647 | 2012-05-23 |
| 1235103599 | Dva Renal Healthcare Inc | Clinic/Center | 3126 Professional Dr, Ste 100, Auburn, CA 95603-2411 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942858436 | Fresenius Medical Care Kyana, LLC | Clinic/Center | 604 Mount Tabor Rd, New Albany, IN 47150-2211 | 2019-08-28 |
| 1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
| 1114583697 | Dialysis Care Center Merrillville LLC | Clinic/Center | 349 W 80th Pl, Merrillville, IN 46410-5433 | 2019-05-10 |
| 1043875180 | Usrc Mhp, LLC | Clinic/Center | 2460 Intelliplex Dr Ste 120, Shelbyville, IN 46176 | 2019-05-03 |
| 1326601808 | The Dialysis Center of Hammond-whiting LLC | Clinic/Center | 1005 5th Avenue, Hammond, IN 46320-1004 | 2019-04-19 |
| 1770049017 | Dialyze Direct In LLC | Clinic/Center | 13295 Illinois St Ste 210, Carmel, IN 46032-3021 | 2019-02-12 |
| 1174006662 | Isd Renal Inc | Clinic/Center | 2636 W Michigan St, Indianapolis, IN 46222-3727 | 2018-09-11 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1831685882 | Total Renal Care Inc | Clinic/Center | 2 Executive Dr Ste B, Lafayette, IN 47905-4878 | 2018-07-02 |
| 1609378165 | The Dialysis Center of Gary LLC | Clinic/Center | 1705 West 25th Avenue, Suite 101, Gary, IN 46404-3544 | 2018-03-01 |
| Find all providers with the same taxonomy | ||||
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| 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.