FRESENIUS MEDICAL CARE TULSA, LLC (NPI# 1811401631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811401631 |
| Entity Type | Organization |
| Organization Name | FRESENIUS MEDICAL CARE TULSA, LLC |
| Other Organization Name | BEVERLY MATHIS MEMORIAL |
| Practice Address |
5230 S Mingo Rd Tulsa OK 74146 |
| Mailing Address |
5230 S Mingo Rd Tulsa OK 74146-5765 |
| Practice Telephone | 9186600816 |
| Mailing Telephone | 9186600816 |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2018-08-13 |
| Authorized Official Name | MARK FAWCETT (SENIOR VICE PRESIDENT & 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 |
|---|---|
| Beverly Mathis Memorial | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1487206595 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 215 S Brady St, Claremore, OK 74017-5081 | 2019-07-10 |
| 1437590015 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 2845 E Skelly Dr, Tulsa, OK 74105-6221 | 2013-07-11 |
| 1548609480 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 8620 S. Lewis Ave., Tulsa, OK 74137-1267 | 2013-06-24 |
| 1487093720 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 2309 W Edison St, Suite A, Tulsa, OK 74127-5218 | 2013-06-20 |
| 1437598786 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 3371 W Broadway St, Muskogee, OK 74401-2134 | 2013-06-20 |
| 1336588680 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 10205 N 110th East Ave, Owasso, OK 74055-4374 | 2013-06-20 |
| 1679914253 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 3500 State St, Bartlesville, OK 74006-2932 | 2013-07-11 |
| 1861833444 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 1013 E Cleveland Ave, Sapulpa, OK 74066-4516 | 2013-07-11 |
| 1306287982 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 1515 N Harvard Ave, Suite D, Tulsa, OK 74115-4957 | 2013-07-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | FRESENIUS MEDICAL CARE TULSA, LLC | 920 Winter Street, Waltham, MA 02451 |
| Street Address |
5230 S MINGO RD |
| City | TULSA |
| State | OK |
| Zip Code | 74146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624550 | Sage Anesthesia Services Inc. | Nurse Anesthetist, Certified Registered | Union Pines Surgery Center, 4808 S 109th E Ave, Tulsa, OK 74146 | 2020-06-19 |
| 1184158404 | Alexis Lauren Allen | Case Manager/Care Coordinator | 9820 E 41st St #400, Tulsa, OK 74146 | 2017-04-13 |
| 1578995908 | Adrian Gheorghe Butuc | Massage Therapist | 5635 S Mingo #b, Tulsa, OK 74146 | 2013-08-08 |
| 1336587088 | Tulsa Cancer Institute, Pllc | Obstetrics & Gynecology | 12697 E. 51st St. South, Tulsa, OK 74146 | 2013-06-04 |
| 1265782338 | Milestones Pediatric Urgent Care | Pediatrics | 3863 South 103rd E Avenue, Tulsa, OK 74146 | 2012-09-14 |
| 1619232972 | Diagnostic Imaging Associates | General Acute Care Hospital | 4500 S Garnett Rd, Ste 300, Tulsa, OK 74146 | 2012-07-11 |
| 1790046654 | Aundra Lamar Fuller | Behavioral Analyst | 10922 E. 39th St., Tulsa, OK 74146 | 2012-06-06 |
| 1134492416 | Mark S Thomas Jr. | Behavioral Analyst | 10005 E 52nd Street, Tulsa, OK 74146 | 2012-02-16 |
| 1922307958 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 5115 S. 122nd East Ave., Suite 204, Tulsa, OK 74146 | 2011-03-16 |
| 1154554459 | Ami Nichole Hess | Radiology Practitioner Assistant | 4500 South Garnett Rd, Suite 300, Tulsa, OK 74146 | 2009-09-02 |
| Find all providers in zip 74146 | ||||
| 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 |
|---|---|---|---|---|
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1437590015 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 2845 E Skelly Dr, Tulsa, OK 74105-6221 | 2013-07-11 |
| 1548609480 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 8620 S. Lewis Ave., Tulsa, OK 74137-1267 | 2013-06-24 |
| 1487093720 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 2309 W Edison St, Suite A, Tulsa, OK 74127-5218 | 2013-06-20 |
| 1710140967 | Bio-medical Applications of Oklahoma, Inc. | Clinic/Center | 2309a W Edison St, Tulsa, OK 74127-5218 | 2008-07-08 |
| 1255509188 | Biomedical Application of Okla | Clinic/Center | 2309a West Edison, Tulsa, OK 74127-5218 | 2008-02-13 |
| 1902984156 | St. John Dialysis, LLC | Clinic/Center | 1923 East 21st Street, Tulsa, OK 74114-1402 | 2006-11-02 |
| 1528160710 | Dialysis Specialists of Tulsa, Inc. | Clinic/Center | 8260 S Lewis Ave, Tulsa, OK 74137-1267 | 2006-09-01 |
| 1700842655 | Greenwood Dialysis LLC | Clinic/Center | 1345 N Lansing Ave, Tulsa, OK 74106-5911 | 2006-04-20 |
| 1881657443 | Southcrest Dialysis LLC | Clinic/Center | 10921 E 81st St, Tulsa, OK 74133-4227 | 2006-04-06 |
| Find all providers in TULSA | ||||
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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.