NPIMap

Organization Active NPI

Fremont Medical Services PC

  • Clinic/Center
  • Saint Anthony, ID
National Provider Identifier
1023288172
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
M4566 Issued in ID
Legal business name
FREMONT MEDICAL SERVICES PC
Practice address
430 N Bridge St
Saint Anthony, ID 83445-1425
Phone
(208) 624-4402
Fax
(208) 624-4409
NPI assigned
Mar 5, 2008
Last updated
Nov 4, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
FREMONT MEDICAL SERVICES PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Authorized official

Name
Dr. Stephen James Cheyne, MDNPI 1346391513
Title
President
Phone
(208) 624-4402

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X M4566 ID Primary

Addresses

Primary practice location

430 N Bridge St
Saint Anthony, ID 83445-1425

Mailing address

430 N Bridge St
Saint Anthony, ID 83445-1425
Phone (208) 624-4402

Other names 1

  • St Anthony Medical Center Other name

National Provider Directory

National Provider Directory
Part of
Fremont Medical Services PC

Locations

430 N Bridge St
Saint Anthony, ID 83445
Phone (208) 624-4402

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1023288172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N BRIDGE ST",
            "city": "SAINT ANTHONY",
            "state": "ID",
            "postal_code": "834451425",
            "telephone_number": "208-624-4402",
            "fax_number": "208-624-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N BRIDGE ST",
            "city": "SAINT ANTHONY",
            "state": "ID",
            "postal_code": "834451425",
            "telephone_number": "208-624-4402",
            "fax_number": "208-624-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT MEDICAL SERVICES PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FREMONT MEDICAL SERVICES PC",
        "enumeration_date": "2008-03-05",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "CHEYNE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-624-4402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "ID",
            "license": "M4566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Anthony Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Anthony, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.