Faith Regional Physician Services, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAITH REGIONAL PHYSICIAN SERVICES, LLC

Practice address

110 N 29TH St Ste 201
Norfolk, NE 68701-4461

Phone

(402) 844-8385

Fax

(402) 844-8121

NPI assigned

Jun 26, 2018

Last updated

Jun 26, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

FAITH REGIONAL PHYSICIAN SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Patrick Roche

Title

C.O.O.

Phone

(402) 844-8121

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Faith Regional Physician Services LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Faith Regional Physician Services, LLC

  • Anesthesiology Physician
  • Norfolk, NE
  • NPI 1275074577
  NPPES parent name

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1689169344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N 29TH ST STE 201",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014461",
            "telephone_number": "402-844-8385",
            "fax_number": "402-844-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N 29TH ST STE 201",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014461",
            "telephone_number": "402-844-8385",
            "fax_number": "402-844-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH REGIONAL PHYSICIAN SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAITH REGIONAL PHYSICIAN SERVICES, LLC",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "ROCHE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "C.O.O.",
        "authorized_official_telephone_number": "402-844-8121"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "PENDING",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faith Regional Health Services (The Pill Box LTC)
• Faith Regional Health Services (Faith Health Home Health)
• Faith Regional Health Services (St. Joseph's Rehabilitation and Care Center)
• Faith Regional Physician Services, LLC
• Faith Regional Physician Services, LLC
• Family First Dental Associates of Nebraska, P.C. (Family 1st Dental of Norfolk)
• Family First Dental Associates of Nebraska, PC (Family First Dental of Norfolk Taylor)
• Family Frist Dental Associates of Nebraska, P.C. (Family 1st Dental of Norfolk 2)
• Family Health and Sports Medicine PC
• Jennifer Sue Fanning, MS OTR/L

• Family Medicine Physician in Norfolk, NE
• Providers in Norfolk, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.