NPIMap

Organization Active NPI

Fremont Medical Associates - Internal Medicine

  • Internal Medicine Physician
  • Fremont, NE
National Provider Identifier
1386627909
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FREMONT MEDICAL ASSOCIATES - INTERNAL MEDICINE
Practice address
680 E Fremont Medical Park Drive
Suite 100
Fremont, NE 68025-2039
Phone
(402) 727-5200
Fax
(402) 721-5230
NPI assigned
Nov 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Authorized official

Name
Thomas S Robertson, MDNPI 1306811872
Title
Physician
Phone
(402) 727-5200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

680 E Fremont Medical Park Drive
Suite 100
Fremont, NE 68025-2039

Mailing address

680 E Fremont Medical Park Drive
Suite 100
Fremont, NE 68025-2039
Phone (402) 727-5200

Other names 1

  • Fremont Internal Medicine Complete Adult Care Other name

National Provider Directory

National Provider Directory

Locations

2350 N Clarkson St
#700
Fremont, NE 68025
Phone (402) 721-6333

2350 N Clarkson St
Ste 200
Fremont, NE 68025
Phone (402) 727-5200

680 E Fremont Medical Park Dr
Ste 100
Fremont, NE 68025
Phone (402) 727-5200

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1386627909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 E FREMONT MEDICAL PARK DRIVE",
            "address_2": "SUITE 100",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252039",
            "telephone_number": "402-727-5200",
            "fax_number": "402-721-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 E FREMONT MEDICAL PARK DRIVE",
            "address_2": "SUITE 100",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252039",
            "telephone_number": "402-727-5200",
            "fax_number": "402-721-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT MEDICAL ASSOCIATES - INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "402-727-5200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fremont Internal Medicine Complete Adult Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fremont, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.