Fremont Neurology LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

18925 Issued in NE

Legal business name

FREMONT NEUROLOGY LLC

Practice address

2735 N Clarkson St
Fremont, NE 68025-7717

Phone

(402) 727-9992

Fax

(402) 727-7029

NPI assigned

Feb 22, 2010

Organization subpart

No

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

Authorized official

Name

Margaret Winckler

Title

Billing Manager

Phone

(402) 727-9992

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523491200000",
    "number": "1609198480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 N CLARKSON ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680257717",
            "telephone_number": "402-727-9992",
            "fax_number": "402-727-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 N CLARKSON ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680257717",
            "telephone_number": "402-727-9992",
            "fax_number": "402-727-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT NEUROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2018-04-12",
        "status": "A",
        "authorized_official_last_name": "WINCKLER",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "402-727-9992"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NE",
            "license": "18925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Fremont Psychiatric Services
• Fremont Public Schools

• Specialist in Fremont, NE
• Providers in Fremont, NE by specialty
• Specialist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.