FRESENIUS MEDICAL CARE FORT WAYNE, LLC (NPI# 1760803712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760803712 |
| Entity Type | Organization |
| Organization Name | FRESENIUS MEDICAL CARE FORT WAYNE, LLC |
| Other Organization Name | FRESENIUS MEDICAL CARE DEFIANCE |
| Practice Address |
1850 E 2nd St Suites 1846 & 1850 Defiance OH 43512-2502 |
| Practice Telephone | 4197829090 |
| Practice Fax Number | 4197823520 |
| Mailing Telephone | 4197829090 |
| Mailing Fax Number | 4197823520 |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2014-01-10 |
| 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 Defiance | 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 |
| 1518388461 | Fresenius Medical Care Fort Wayne, LLC | Clinic/Center | 1144 W 15th St, Auburn, IN 46706-2096 | 2013-12-19 |
| 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 |
| 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 |
1850 E 2ND ST SUITES 1846 & 1850 |
| City | DEFIANCE |
| State | OH |
| Zip Code | 43512-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003921867 | Rcg Indiana, L.L.C. | Clinic/Center | 1850 E 2nd St, Suites 1846 and 1850, Defiance, OH 43512-2502 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174098768 | Dr. Bradley Pittman Dds Ltd. | Oral & Maxillofacial Surgery | 205 E. Second St., Defiance, OH 43512 | 2018-10-10 |
| 1285115147 | Tamara Lynn Junge | Social Worker | 1252 Ralston Avenue, #401, Defiance, OH 43512 | 2018-08-28 |
| 1306207568 | Deborah Lehnert | Licensed Practical Nurse | 511 Perry Street, Defiance, OH 43512 | 2016-03-16 |
| 1265857924 | P & R Home Iv Service, Inc. | Durable Medical Equipment & Medical Supplies | 1018 Ralston Avenue, Suite 107, Defiance, OH 43512 | 2014-03-04 |
| 1609020155 | Christina Marie Pergram | Physician Assistant | 1250 Rlaston Ave, Suite 104, Defiance, OH 43512 | 2008-11-11 |
| 1477740785 | Assisted Living Concepts Inc | Assisted Living Facility | 245 North Rosewood Avenue, Defiance, OH 43512 | 2007-10-01 |
| 1720127863 | Kathy Williams Homier | Counselor | 815 E Second St, Defiance, OH 43512 | 2007-02-05 |
| 1407944960 | Oak Health Care Investors of Defiance, Inc. | Durable Medical Equipment & Medical Supplies | 1701 South Jefferson Ave, Defiance, OH 43512 | 2006-10-10 |
| 1184733719 | Shane Aaron Klingler | Chiropractor | 1770 Jefferson Ave, Defiance, OH 43512 | 2006-08-29 |
| 1396751327 | Elizabeth Marie Seibert | Pharmacist | 1245 E Second St, Defiance, OH 43512 | 2006-07-31 |
| Find all providers in zip 43512 | ||||
| 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 |
|---|---|---|---|---|
| 1003921867 | Rcg Indiana, L.L.C. | Clinic/Center | 1850 E 2nd St, Suites 1846 and 1850, Defiance, OH 43512-2502 | 2006-08-20 |
| 1720059892 | Defiance Dialysis Center, Ltd. | Clinic/Center | 220 Stadium Dr, Defiance, OH 43512-4609 | 2006-01-27 |
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|---|---|---|---|---|
| 1235744616 | Akron Renal Care Group, LLC | Clinic/Center | 2583 Center Rd, Hinckley, OH 44233-9561 | 2020-09-11 |
| 1366057747 | Akron Renal Care Group, LLC | Clinic/Center | 9200 Staples Dr Ste A, Streetsboro, OH 44241-3950 | 2020-09-11 |
| 1518570886 | Independent Dialysis Group Northeast Ohio LLC | Clinic/Center | 48444 Bell School Rd Ste 4, Calcutta, OH 43920-9646 | 2020-08-26 |
| 1871106401 | Akron Renal Care Group, LLC | Clinic/Center | 401 Devon Pl Ste 100, Kent, OH 44240-6481 | 2020-08-24 |
| 1558985663 | Wyandot Dialysis Clinic LLC | Clinic/Center | 1207 E Wyandot Ave, Upper Sandusky, OH 43351-9647 | 2020-06-04 |
| 1245854876 | Concerto Ohio LLC | Clinic/Center | 2111 S Green Rd, South Euclid, OH 44121-3350 | 2020-05-29 |
| 1548899602 | Northeast Ohio Home Dialysis LLC | Clinic/Center | 2819 S Hayes Ave Ste 8, Sandusky, OH 44870-5391 | 2020-04-02 |
| 1982242954 | Center for Dialysis Care Beachwood Home Care LLC | Clinic/Center | 3755 Orange Pl Ste 103, Beachwood, OH 44122-4455 | 2019-12-20 |
| 1639715808 | Bullock Dialysis LLC | Clinic/Center | 2290 Ferguson Rd, Cincinnati, OH 45238 | 2019-11-22 |
| 1912554486 | Usrc Tiffin, LLC | Clinic/Center | 100 Shaffer Park Dr Ste A, Tiffin, OH 44883-8536 | 2019-08-20 |
| 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.