FREMONT EMERGENCY ASSOCIATES INC (NPI# 1053675751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053675751 |
| Entity Type | Organization |
| Organization Name | FREMONT EMERGENCY ASSOCIATES INC |
| Practice Address |
715 S Taft Ave Fremont OH 43420-3237 |
| Mailing Address |
307 S Evergreen Ave Woodbury NJ 08096-2739 |
| Practice Telephone | 4193327331 |
| Mailing Telephone | 8566864317 |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2012-06-27 |
| Authorized Official Name | STEPHEN G. HOLTZCLAW (OWNER) |
| Authorized Official Telephone | 8566864317 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
715 S TAFT AVE |
| City | FREMONT |
| State | OH |
| Zip Code | 43420-3237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043203219 | Bruce L Hammond | Radiology | 715 S Taft Ave, Fremont, OH 43420-3200 | 2005-08-23 |
| 1932607959 | Rachel Ragle | Nurse Practitioner | 715 S Taft Ave, Fremont, OH 43420 | 2018-01-24 |
| 1598298366 | Teri Tooman | Pharmacist | 715 S Taft Ave, Fremont, OH 43420-3237 | 2017-04-07 |
| 1750814992 | Patricia Beaschler | Pharmacist | 715 S Taft Ave, Fremont, OH 43420-3237 | 2017-04-05 |
| 1588197990 | Leslie Hartman | Pharmacist | 715 S Taft Ave, Fremont, OH 43420-3237 | 2017-04-04 |
| 1285167627 | Matthew Barbour | Pharmacist | 715 S Taft Ave, Fremont, OH 43420-3237 | 2017-04-04 |
| 1992248496 | Jamie Hoppe | General Acute Care Hospital | 715 S Taft Ave, Fremont, OH 43420-3237 | 2016-12-01 |
| 1063802304 | Promedica Anesthesiology Consultants LLC | Nurse Anesthetist, Certified Registered | 715 S Taft Ave, Fremont, OH 43420-3237 | 2015-01-26 |
| 1184021362 | Briana Lynn Rauch | Nurse Practitioner | 715 S Taft Ave, Fremont, OH 43420-3237 | 2014-12-03 |
| 1902185655 | Promedica Northwest Ohio Cardiology Consultants, LLC | Internal Medicine | 715 S Taft Ave, Suite 195, Fremont, OH 43420-3200 | 2011-08-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225596570 | Trisha D Hamm | Nurse Practitioner | Walk In Urgent Care, 2180 Sean Dr., #6b, Fremont, OH 43420 | 2019-03-06 |
| 1558886051 | Kortney Blair Potridge | Homemaker | 1718 Buckland Avenue, Fremont, OH 43420 | 2017-08-07 |
| 1699134015 | Gentle Caring Dentistry of Fremont Ohio | Dentist | 2430 Enterprise St, Fremont, OH 43420 | 2016-02-12 |
| 1033574587 | Alyssa Dickman | Physical Therapy Assistant | 1310 Chestnut St, Fremont, OH 43420 | 2015-12-29 |
| 1437566734 | Michael Allen Koebel | Registered Nurse | 1728 Oak Harbor Rd, Fremont, OH 43420 | 2014-07-18 |
| 1598183774 | Harry D. Burger | Dentist | 567 Bartson Rd., Fremont, OH 43420 | 2014-04-03 |
| 1750706636 | Lori Fisher | Registered Nurse | 500 W. State St., Suite A, Fremont, OH 43420 | 2014-02-28 |
| 1699113001 | Cora Renea Minich | Massage Therapist | 510 Court Street, Fremont, OH 43420 | 2013-06-07 |
| 1477850071 | Parschauer Eye Center Inc | Eyewear Supplier (Equipment, not the service) | 126 S. Front St, Fremont, OH 43420 | 2011-02-16 |
| 1316260839 | Marla D Carlisle | Physician Assistant | 605 Third Avenue, Suite B, Fremont, OH 43420 | 2010-03-11 |
| Find all providers in zip 43420 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831554211 | Me Urgent Care Nebraska, Inc | Emergency Medicine | 1240 East 23rd Street, Fremont, NE 68025-2411 | 2015-12-29 |
| 1487031803 | Duc Minh Tran | Emergency Medicine | 4251 Corrigan Dr, Fremont, CA 94536-5906 | 2015-05-06 |
| 1538307350 | Physician's Choice Hospital - Fremont Physicians | Emergency Medicine | 2390 Enterprise Dr., Fremont, OH 43420 | 2009-02-02 |
| 1912995952 | Kadeer M. Halimi | Emergency Medicine | 39159 Paseo Padre Parkway Suite 232, Fremont, CA 94538-4451 | 2005-10-13 |
| 1629070982 | Newaygo County General Hospital Association | Emergency Medicine | 212 S Sullivan Ave, Fremont, MI 49412-1548 | 2005-06-01 |
| 1790250967 | Emergency Physicians Associates Fremont PC | Emergency Medicine | 2000 Mowry Ave, Fremont, CA 94538-1716 | 2018-10-03 |
| 1124548334 | Elliott James Miller | Emergency Medicine | 450 E 23rd St, Fremont, NE 68025-2303 | 2017-06-20 |
| 1023428331 | Leslie Chen | Emergency Medicine | 3200 Kearney St, Fremont, CA 94538-2299 | 2014-05-08 |
| 1689806689 | Exigence of Fremont, LLC | Emergency Medicine | 715 S Taft Ave, Fremont, OH 43420-3200 | 2009-08-10 |
| 1548412745 | Sabrina Taneja Sood | Emergency Medicine | 3200 Kearney St, Fremont, CA 94538 | 2008-10-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.