Organization Active NPI

Fremin Medical LLC

  • Family Medicine Physician
  • New Iberia, LA
National Provider Identifier
1104089135
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
025620 Issued in LA
Legal business name
FREMIN MEDICAL LLC
Doing business as
Fremin Medical Clinic
Practice address
1115 Center Street
New Iberia, LA 70560
Phone
(337) 364-5503
NPI assigned
Jul 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Dr. Ross John Fremin, M.D.
Title
Family Physician
Phone
(337) 364-5503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 025620 LA Primary

Addresses

Primary practice location

1115 Center Street
New Iberia, LA 70560

Mailing address

1115 Center Street
New Iberia, LA 70560
Phone (337) 364-5503

Other names 1

  • Fremin Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1115 Ctr St
New Iberia, LA 70560
Phone (337) 364-5503

1115 Ctr St
New Iberia, LA 70560
Phone (337) 364-5503

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1104089135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 CENTER STREET",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "70560",
            "telephone_number": "337-364-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 CENTER STREET",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "70560",
            "telephone_number": "337-364-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMIN MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "FREMIN",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "FAMILY PHYSICIAN",
        "authorized_official_telephone_number": "337-364-5503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "025620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fremin Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Iberia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.