Fremont Health

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

FREMONT HEALTH

Doing business as

Fremont Cardiovascular Specialists

Practice address

426 East 22ND Street
Suite 100
Fremont, NE 68025-2633

Phone

(402) 727-7796

Fax

(402) 727-9574

NPI assigned

Aug 27, 2010

Last updated

Aug 26, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

FREMONT HEALTHAs reported in NPPES

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

Authorized official

Name

Mr. Patrick M Booth

Title

President/Ceo

Phone

(402) 721-1610

Specialties & licenses 3

Addresses

Other names 1

• Fremont Cardiovascular Specialists Doing business as

Part of

Fremont Area Medical Center

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1043526080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 E 22ND STREET",
            "address_2": "SUITE 100",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252633",
            "telephone_number": "402-727-7796",
            "fax_number": "402-727-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 EAST 22ND STREET",
            "address_2": "SUITE 100",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252633",
            "telephone_number": "402-727-7796",
            "fax_number": "402-727-9574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FREMONT HEALTH",
        "enumeration_date": "2010-08-27",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "402-721-1610",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fremont Cardiovascular Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fremont Children's Academy, Inc.
• Fremont Children's Dentistry, LLC
• Fremont Chiropractic Clinic PC
• Fremont Dental Group PC (Fremont Dental Group)
• Fremont Family Counseling, LLC
• Fremont Health (Fremont Health Hospice)
• Fremont Health (Fremont Health Medical Center)
• Fremont Health (Fremont AMC Hospice Arbor Manor)
• Fremont Health (Fremont Health Hospice GLC - Valhaven)
• Fremont Health (Fremont Area Medical Center / Parkview Home)

• Cardiovascular Disease Physician in Fremont, NE
• Providers in Fremont, NE by specialty
• Cardiovascular Disease Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.