Fremont Primary Care LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FREMONT PRIMARY CARE LTD

Practice address

520 Fremont St
Las Vegas, NV 89101-5621

Phone

(702) 382-5200

Fax

(702) 477-0047

NPI assigned

Nov 3, 2005

Organization subpart

No

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

Authorized official

Name

Jon Greg Griffin

Title

Ceo

Phone

(702) 671-6800

Specialties & licenses 5

Addresses

Other names 1

• Fremont Medical Center Doing business as

Tax ID family

Fremont Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fremont Primary Care LTD

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1639246309
  NPD tax ID

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1093706343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1737",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891251737",
            "telephone_number": "702-671-6800",
            "fax_number": "702-671-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 FREMONT ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891015621",
            "telephone_number": "702-382-5200",
            "fax_number": "702-477-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT PRIMARY CARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "GREG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-671-6800"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fremont Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Fremont Women'S Health, LLC
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• Andrea Diane French
• Beth French

• Family Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.