Fremont Surgical Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

ASC052 Issued in NE

Legal business name

FREMONT SURGICAL CENTER, LLC

Practice address

840 E 29TH Street
Fremont, NE 68025

Phone

(402) 941-7050

Fax

(402) 941-7055

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Stephen P Henry

Title

Administrator

Phone

(402) 941-7050

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

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

• Kenneth R Pitz, MD

  • Orthopaedic Surgery Physician
  • Fremont, NE
  • NPI 1922087642
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279843200000",
    "number": "1649489832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 E 29TH STREET",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "68025",
            "telephone_number": "402-941-7050",
            "fax_number": "402-941-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 E 29TH STREET",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "68025",
            "telephone_number": "402-941-7050",
            "fax_number": "402-941-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2010-07-23",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "402-941-7050"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NE",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NE",
            "license": "ASC052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025569200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fremont Neurology Specialists LLC
• Fremont Orthodontics LLC
• Fremont Pediatric, Adolescent and Young Adult Medicine, LLC. (Kid Care)
• Fremont Psychiatric Services
• Fremont Public Schools
• Fremont Therapy & Wellness, P.C. (Fremont Therapy and Wellness)
• Fremont Vision Corporation
• Martina French
• Mark John Frillman, LADC
• Julie Irene Fritz

• Ambulatory Surgical Clinic/Center in Fremont, NE
• Providers in Fremont, NE by specialty
• Ambulatory Surgical Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; 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.