FREMONT HEALTH (NPI# 1043526080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043526080 |
| Entity Type | Organization |
| Organization Name | FREMONT HEALTH |
| Other Organization Name | FREMONT CARDIOVASCULAR SPECIALISTS |
| Practice Address |
426 East 22nd Street Suite 100 Fremont NE 68025-2633 |
| Mailing Address |
426 E 22nd Street Suite 100 Fremont NE 68025-2633 |
| Practice Telephone | 4027277796 |
| Practice Fax Number | 4027279574 |
| Mailing Telephone | 4027277796 |
| Mailing Fax Number | 4027279574 |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2014-08-26 |
| Authorized Official Name | MR. PATRICK M BOOTH (PRESIDENT/CEO) |
| Authorized Official Telephone | 4027211610 |
| Is Organization Subpart | Y |
| Parent Organization Name | FREMONT HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Fremont Cardiovascular Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811244213 | Fremont Health | Hospice Care, Community Based | 450 E 23rd Street, Fremont, NE 68025-2303 | 2012-08-06 |
| 1962441196 | Fremont Health | Home Health | 2400 N Lincoln Ave, Suite B, Fremont, NE 68025-2443 | 2006-06-05 |
| 1720441074 | Fremont Health | Psychiatric Unit | 450 E 23rd St, Fremont, NE 68025-2387 | 2016-04-04 |
| 1285020529 | Fremont Health | Hospice Care, Community Based | 450 E 23rd Street, Fremont, NE 68025-2387 | 2015-04-14 |
| 1699023010 | Fremont Health | Hospice Care, Community Based | 450 E 23rd Street, Fremont, NE 68025-2303 | 2012-08-15 |
| 1679820914 | Fremont Health | Hospice Care, Community Based | 450 E 23rd St, Fremont, NE 68025-2303 | 2012-08-06 |
| 1225385560 | Fremont Health | Hospice Care, Community Based | 450 E 23rd St, Fremont, NE 68025-2303 | 2012-08-06 |
| 1750638094 | Fremont Health | Hospice Care, Community Based | 450 E 23rd St, Fremont, NE 68025-2303 | 2012-08-06 |
| 1790032191 | Fremont Health | Hospice Care, Community Based | 450 E 23rd St, Fremont, NE 68025-2303 | 2012-08-06 |
| 1306193644 | Fremont Health | Hospice Care, Community Based | 450 E 23rd St, Fremont, NE 68025-2303 | 2012-08-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | FREMONT HEALTH CLUB LLC | 4101 Olympic Blvd., Suite 200, Everett, WA 98203 |
| Colorado Business Entities | Fremont Health, LLC | 1586 South 21st Street, Suite 20, Colorado Springs, CO 80904 |
| Street Address |
426 EAST 22ND STREET SUITE 100 |
| City | FREMONT |
| State | NE |
| Zip Code | 68025-2633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710456934 | Methodist Fremont Health | Pharmacy | 450 E 23rd, Fremont, NE 68025 | 2018-11-16 |
| 1811484546 | Cynthia Jane Cusick | Social Worker | 748 North Main Street, Fremont, NE 68025 | 2018-04-18 |
| 1891298196 | Hergenrader Dental Rehab PC | Dentist | 3102 East Elk Lane, Fremont, NE 68025 | 2018-03-13 |
| 1982142857 | Paula Y. Walla | Speech-Language Pathologist | 130 E. 9th St., Fremont, NE 68025 | 2017-02-10 |
| 1619326709 | Debra Baker | Nurse Practitioner | 3140 Elk Ln Ste 600, Fremont, NE 68025 | 2016-06-09 |
| 1912368069 | Nicole Henkel | Occupational Therapist | 450 East 23rd, Fremont, NE 68025 | 2016-03-17 |
| 1265818017 | Orchid of Hope Counseling | Exclusive Provider Organization | 1919 North Broad Street, Fremont, NE 68025 | 2015-08-04 |
| 1265770366 | James N Orr | Pharmacist | 840 E 23 St, Fremont, NE 68025 | 2013-01-24 |
| 1902156086 | Penelope Anastasia Stoll | Speech-Language Pathologist | Nye Legacy, 3210 N. Clarkson St, Fremont, NE 68025 | 2012-09-14 |
| 1144582685 | Diane Marie Gehring | Case Management | 105 East 12th Street, Fremont, NE 68025 | 2012-06-11 |
| Find all providers in zip 68025 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861766255 | East Bay Cardiology Inc | Internal Medicine | 39231 Liberty Street, Fremont, CA 94538-1501 | 2012-03-02 |
| 1396018289 | Rajesh S Suri | Internal Medicine | 39350 Civic Center Dr Ste 260, Fremont, CA 94538-2384 | 2012-02-23 |
| 1356499578 | Gurcharan Singh Reen | Internal Medicine | 1900 Mowry Ave Ste 101, Fremont, CA 94538-1722 | 2007-01-05 |
| 1326055658 | Sangeetha Balakrishnan | Internal Medicine | 2287 Mowry Ave Ste H-i, Fremont, CA 94538-1622 | 2006-08-01 |
| 1790700987 | Rajesh Sam Suri | Internal Medicine | 3155 Kearney St Ste 100, Fremont, CA 94538-2268 | 2006-07-12 |
| 1508827692 | Douglas M Guy | Internal Medicine | 426 E 22nd St, Fremont, NE 68025 | 2006-03-29 |
| 1356324966 | David K Berke | Internal Medicine | 3200 Kearney Street, Fremont, CA 94538-2299 | 2005-11-29 |
| 1912435173 | West Coast Medicine and Cardiology Inc | Internal Medicine | 3155 Kearney St Ste 100, Fremont, CA 94538-2268 | 2017-05-31 |
| 1376804567 | Catherine Dao | Internal Medicine | 2287 Mowry Ave, Suite H-i, Fremont, CA 94538-1622 | 2012-06-04 |
| 1811253115 | California Cardiology Associates Inc | Internal Medicine | 1900 Mowry Ave, Suite 309, Fremont, CA 94538-1722 | 2012-04-11 |
| Find all providers in FREMONT | ||||
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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.