FRESENIUS MEDICAL CARE SOUTHEAST OKLAHOMA CITY, LLC (NPI# 1669793915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669793915 |
| Entity Type | Organization |
| Organization Name | FRESENIUS MEDICAL CARE SOUTHEAST OKLAHOMA CITY, LLC |
| Other Organization Name | FRESENIUS MEDICAL CARE MIDTOWN OKLAHOMA CITY DIALYSIS |
| Practice Address |
810 Nw 10th St Oklahoma City OK 73106-7218 |
| Practice Telephone | 4052721553 |
| Practice Fax Number | 4052720506 |
| Mailing Telephone | 4052721553 |
| Mailing Fax Number | 4052720506 |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2011-05-04 |
| Authorized Official Name | MARK 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 |
| Other Name | Type Code |
|---|---|
| Fresenius Medical Care Midtown Oklahoma City Dialysis | Doing Business As Name - Organization |
| Street Address |
810 NW 10TH ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73106-7218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134272933 | Rajesh Kumar | Internal Medicine | 810 Nw 10th St, Suite A, Oklahoma City, OK 73106-7215 | 2007-01-18 |
| 1982072914 | Pankaj Baluja Pllc | Specialist | 810 Nw 10th St, Suite A, Oklahoma City, OK 73106-7215 | 2015-09-08 |
| 1154681450 | Ssm Healthcare of Ok, Inc | Internal Medicine | 810 Nw 10th St, Suite A, Oklahoma City, OK 73106-7215 | 2012-05-21 |
| 1710282819 | Sarah Thompson | Physician Assistant | 810 Nw 10th St, Suite A, Oklahoma City, OK 73106-7216 | 2011-01-20 |
| 1871730333 | Rajesh Kumar Md Pllc | Internal Medicine | 810 Nw 10th St, Suite A, Oklahoma City, OK 73106-7215 | 2009-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538625660 | Symachia LLC | Physician Assistant | 115 N. Main St., Cashion, OK 73106 | 2019-02-13 |
| 1598290538 | Eric T Manuel | Counselor | 1841 Nw 18th Street, Oklahoma City, OK 73106 | 2017-04-27 |
| 1679010516 | Danny Lee Stone | Peer Specialist | 3010 N Mckinley Ave, Oklahoma City, OK 73106 | 2017-01-31 |
| 1245683929 | Shandi Alphonso | Peer Specialist | 1219 N.w. 9th St., Okc, OK 73106 | 2016-07-19 |
| 1033593173 | Good Journey Hospice, LLC | Hospice Care, Community Based | 901 Nw 25th, Room 2, Oklahoma City, OK 73106 | 2015-07-18 |
| 1114317435 | Savanah Brook Caddel | Counselor | 1251 Nw 25th St, Oklahoma City, OK 73106 | 2015-01-24 |
| 1619381084 | Theressa Hall | Case Manager/Care Coordinator | 1330 N. Classen Blvd, Suite 302, Oklahoma City, OK 73106 | 2014-06-13 |
| 1417376021 | Christe Lyn Sweat | Case Manager/Care Coordinator | 900 Nw 10 Street, Oklahoma City, OK 73106 | 2014-04-10 |
| 1003169004 | Jessica Stevie Schrameck | Counselor | 1017 Nw 6th St., Oklahoma City, OK 73106 | 2012-10-16 |
| 1841579166 | Frances Bernice Pasternik | Counselor | 2220 North Classen Blvd, Suite E, Oklahoma City, OK 73106 | 2011-08-04 |
| Find all providers in zip 73106 | ||||
| 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 |
| 1174686513 | Fresenius Medical Care 5856, LLC | Clinic/Center | 5419 S Western Ave, Oklahoma City, OK 73109-4506 | 2006-12-18 |
| 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 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73106 |
Please comment or provide details below to improve the information on FRESENIUS MEDICAL CARE SOUTHEAST OKLAHOMA CITY, 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.