MEDICARE: FRESENIUS VASCULAR CARE DAYTON LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0204X	Vascular & Interventional Radiology Physician

General Provider Information

NPI Number	:	1770172645
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRESENIUS VASCULAR CARE DAYTON LLC

Provider Business Mailing Address
First Line	:	PO BOX 412924
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02241-2924
Country	:	US
Telephone Number	:	610-644-8900
Fax Number	:	484-924-0053

Provider Business Practice Location Address
First Line	:	2016 SPRINGBORO W
Second Line	:
City	:	MORAINE
State	:	OH
Zip	:	45439-1648
Country	:	US
Telephone Number	:	937-298-6777
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	GREGG MILLER
Credential	:	MD
Telephone Number	:	717-515-4048

Provider Enumeration Date	:	01/14/2021
Last Update Date	:	08/13/2025

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