{
"Npi": {
"NPI": "1740091289",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
"ParentOrgTIN": null,
"OrgName": "FRESENIUS MEDICAL CARE OAK RIDGE, LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "27172 INTERSTATE 45 N",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "OAK RIDGE NORTH",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77385-8719",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "832-604-8700",
"MailingAddressFaxNumber": "892-384-5894",
"FirstLinePracticeLocationAddress": "27172 INTERSTATE 45 N",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "OAK RIDGE NORTH",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "77385-8719",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "832-604-8700",
"PracticeLocationAddressFaxNumber": "892-384-5894",
"EnumerationDate": "01/15/2025",
"LastUpdateDate": "02/14/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BLANTON",
"AuthorizedOfficialFirstName": "BARRY",
"AuthorizedOfficialMiddleName": "L",
"AuthorizedOfficialTitle": "VICE PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "781-699-9000",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QE0700X",
"TaxonomyName": "End-Stage Renal Disease (ESRD) Treatment Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}