Fremont Medical Services PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

M4566 Issued in ID

Legal business name

FREMONT MEDICAL SERVICES PC

Practice address

23 S 8TH St
Ashton, ID 83420

Phone

(208) 652-3396

NPI assigned

Mar 5, 2008

Organization subpart

Yes

Parent organization

FREMONT MEDICAL SERVICES PCAs reported in NPPES

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

Authorized official

Name

Dr. Stephen Cheyne, MD

Title

President

Phone

(208) 624-4402

Specialties & licenses 1

Addresses

Other names 1

• Ashton Medical Center Other name

Part of

Fremont Medical Services PC

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1598935652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 826",
            "city": "ASHTON",
            "state": "ID",
            "postal_code": "834200826",
            "telephone_number": "208-652-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 S 8TH ST",
            "city": "ASHTON",
            "state": "ID",
            "postal_code": "83420",
            "telephone_number": "208-652-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT MEDICAL SERVICES PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FREMONT MEDICAL SERVICES PC",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "CHEYNE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-624-4402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "ID",
            "license": "M4566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashton Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ashton Memorial, Inc.
• Ashton Memorial, Inc.
• Gregory Spence Barker, DPT
• Douglas T Bossard, RN
• Foot Doctor LLC
• Christopher G Gibson, DO
• Taryn Suzanne Ivie, CADC
• Naomi Johnson
• Elise B. Klingler, RD, LD
• Travis G Marshall, D.P.M

• Clinic/Center in Ashton, ID
• Providers in Ashton, ID by specialty
• Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.