Fremont Radiology, PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

FREMONT RADIOLOGY, PC

Practice address

1001 W Main St
Riverton, WY 82501-3230

Phone

(307) 856-6530

NPI assigned

Mar 9, 2007

Last updated

Nov 13, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Valerie Lawrence

Title

Office Manager

Phone

(307) 856-6530

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Tax ID family

Fremont Radiology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fremont Radiology PC

  dba Fremont Radiology MRI

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Riverton, WY
  • NPI 1124207345
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason Edward Brown, M.D.

  • Diagnostic Radiology Physician
  • Riverton, WY
  • NPI 1255538096
  Medicare reassignment Care Compare group NPD
• James R Taylor, M.D.

  • Diagnostic Radiology Physician
  • Riverton, WY
  • NPI 1265455117
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1740312495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W MAIN ST",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013230",
            "telephone_number": "307-856-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W MAIN ST",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013230",
            "telephone_number": "307-856-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT RADIOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "307-856-6530"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fremont County Group Homes
• Fremont County School District 25
• Fremont Family Practice, P.C.
• Fremont Internal Medicine
• Fremont Radiology PC (Fremont Radiology MRI)
• Fremont Therapy Group
• Fremont Therapy Group Limited Partnership
• Fremont Therapy Group Limited Partnership
• Fremont Therapy Group LLC
• Fremont Vision Clinic Inc

• Diagnostic Radiology Physician in Riverton, WY
• Providers in Riverton, WY by specialty
• Diagnostic Radiology Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.