Fresh Start Private Midwest LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

207LPZ900X Issued in NE

Legal business name

FRESH START PRIVATE MIDWEST LLC

Practice address

2827 S 88TH St
Omaha, NE 68124-3056

Phone

(402) 884-1221

Fax

(402) 884-1335

NPI assigned

Jun 18, 2015

Organization subpart

No

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

Authorized official

Name

Griffith F Evans, M.D.

Title

Medical Director

Phone

(402) 884-1221

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Start Fresh Alcohol Recovery Center Doing business as

Locations

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1598147266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2827 S 88TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243056",
            "telephone_number": "402-884-1221",
            "fax_number": "402-884-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2827 S 88TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243056",
            "telephone_number": "402-884-1221",
            "fax_number": "402-884-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START PRIVATE MIDWEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "GRIFFITH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "402-884-1221",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NE",
            "license": "207LPZ900X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "508729194",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Start Fresh Alcohol Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheri Lynn French, APRN
• Charleen D Frenchman
• Charlotte Rae Frenette, DPT
• Julie Frerichs
• Jana Frese
• Fresh Start Therapy LLC
• Alexis Brooke Freshman
• Emily Freske
• Thomas Allan Frette, ATC
• Donald R. Frey, M.D.

• Pain Medicine (Anesthesiology) Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Pain Medicine (Anesthesiology) Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.