MEDICARE: FRESENIUS MEDICAL CARE FORT WAYNE, 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	261QE0700X	End-Stage Renal Disease (ESRD) Treatment Clinic/Center

General Provider Information

NPI Number	:	1952722076
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRESENIUS MEDICAL CARE FORT WAYNE, LLC

Provider Business Mailing Address
First Line	:	537 W HIGH ST
Second Line	:
City	:	BRYAN
State	:	OH
Zip	:	43506-1619
Country	:	US
Telephone Number	:	419-636-0584
Fax Number	:	419-636-0479

Provider Business Practice Location Address
First Line	:	537 W HIGH ST
Second Line	:
City	:	BRYAN
State	:	OH
Zip	:	43506-1619
Country	:	US
Telephone Number	:	419-636-0584
Fax Number	:	419-636-0479

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	BARRY L. BLANTON
Credential	:
Telephone Number	:	781-699-9000

Provider Enumeration Date	:	12/16/2013
Last Update Date	:	10/17/2023

Similar Medicare Providers

1578678322 — RCG INDIANA, L.L.C.
Practice Location Address:

537 W HIGH ST
BRYAN, OH
43506-1619

Practice Phone: 419-636-0584
Practice Fax:

1295227437 — CRYSTAL KLINE CNP
Practice Location Address:

442 W HIGH ST STE 3
BRYAN, OH
43506-1681

Practice Phone: 419-636-4517
Practice Fax: 419-633-7256

1184575714 — CANDICE LEWIS
Practice Location Address:

910 E MAPLE ST
BRYAN, OH
43506-1841

Practice Phone: 419-782-8856
Practice Fax:

1922001908 — JOSE E PARODI M.D.
Practice Location Address:

433 W HIGH ST
BRYAN, OH
43506-1690

Practice Phone: 419-630-2290
Practice Fax: 419-630-2301

1417951211 — DR. MICHAEL D CASTILLO MD
Practice Location Address:

433 W HIGH ST
BRYAN, OH
43506-1690

Practice Phone: 419-630-2028
Practice Fax: 419-630-2029

1841298296 — DR. CLAIRE LAREE OSBORN D.O.
Practice Location Address:

ACTIVATE HEALTHCARE/500 W MULBERRY ST. , SUITE 101
BRYAN, OH
43506

Practice Phone: 419-519-3336
Practice Fax: 419-212-9219

Directions to “FRESENIUS MEDICAL CARE FORT WAYNE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.