Fremont Neurology Specialists LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

FREMONT NEUROLOGY SPECIALISTS LLC

Practice address

2735 N Clarkson St Ste 1
Fremont, NE 68025-7717

Phone

(402) 727-9992

NPI assigned

Feb 8, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Puente, MDNPI 1194775916

Title

Physician

Phone

(402) 429-8083

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.400353

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John C Puente, M.D.

  • Neurology Physician
  • Fremont, NE
  • NPI 1194775916
  Medicare reassignment NPD Authorized official
• Amy Sue Renken, M.S.

  • Speech-Language Pathologist
  • Omaha, NE
  • NPI 1487803862
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1003670308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 TWIN RIDGE RD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685105058",
            "telephone_number": "402-429-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 N CLARKSON ST STE 1",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680257717",
            "telephone_number": "402-727-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT NEUROLOGY SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "PUENTE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "402-429-8083",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fremont Housing Agency
• Fremont Medical Associates - Internal Medicine
• Fremont Medical Associates, P.C.
• Fremont Medical Associates, P.C.
• Fremont Neurology LLC
• Fremont Orthodontics LLC
• Fremont Pediatric, Adolescent and Young Adult Medicine, LLC.
• Fremont Psychiatric Services
• Fremont Public Schools
• Fremont Surgical Center, LLC

• Neurology Physician in Fremont, NE
• Providers in Fremont, NE by specialty
• Neurology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.