PHYSICIAN'S CHOICE HOSPITAL - FREMONT, LLC (NPI# 1215174040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215174040 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN'S CHOICE HOSPITAL - FREMONT, LLC |
| Practice Address |
2390 Enterprise St Fremont OH 43420-8507 |
| Practice Telephone | 5672012911 |
| Practice Fax Number | 5672012914 |
| Mailing Telephone | 5672012911 |
| Mailing Fax Number | 5672012914 |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2010-10-28 |
| Authorized Official Name | DR. JEROME ANTHONY MCTAGUE (MANAGING MEMBER) |
| Authorized Official Telephone | 4194611057 |
| Authorized Official Credential | MD, JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
Hospitals |
| Street Address |
2390 ENTERPRISE ST |
| City | FREMONT |
| State | OH |
| Zip Code | 43420-8507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952391831 | William S. Vancise | Radiology | 2390 Enterprise St, Fremont, OH 43420-8507 | 2005-10-24 |
| 1942810338 | Kristyn Nicole Reser | Nurse Practitioner | 2390 Enterprise St, Fremont, OH 43420-8507 | 2020-07-31 |
| 1538486055 | Physicians Choice Hospital - Fremont Physicians | Radiology | 2390 Enterprise St, Fremont, OH 43420-8507 | 2010-04-23 |
| 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 | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033698543 | Methodist Fremont Health | General Acute Care Hospital | 450 E 23rd St, Fremont, NE 68025-2387 | 2018-08-07 |
| 1992248496 | Jamie Hoppe | General Acute Care Hospital | 715 S Taft Ave, Fremont, OH 43420-3237 | 2016-12-01 |
| 1821037938 | Fremont Health | General Acute Care Hospital | 450 E 23rd St, Fremont, NE 68025-2387 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992154785 | Tina Brown | General Acute Care Hospital | 626 Homewood Dr, Bidwell, OH 45614-9138 | 2016-06-13 |
| 1861851735 | Kc Ashbaugh | General Acute Care Hospital | 839 Hobson St, Napoleon, OH 43545-1665 | 2016-02-19 |
| 1053779686 | Rehabilitative Services Inc. | General Acute Care Hospital | 4390 Buschor Rd, Coldwater, OH 45828-9705 | 2016-02-10 |
| 1942401229 | Amy Sue Crock | General Acute Care Hospital | 11955 Norfield Rd, New Concord, OH 43762-9755 | 2007-05-31 |
| 1871606921 | The Union Hospital Association | General Acute Care Hospital | 659 Boulevard, Dover, OH 44622-2026 | 2006-08-15 |
| 1184621161 | Wayne Healthcare | General Acute Care Hospital | 835 Sweitzer St, Greenville, OH 45331-1007 | 2005-07-05 |
| 1497293625 | Upper Valley Medical Center | General Acute Care Hospital | 3130 N County Road 25a, Troy, OH 45373-1337 | 2017-02-08 |
| 1770944175 | Timothy Hayes | General Acute Care Hospital | 4997 Skyline Dr, Cambridge, OH 43725-9729 | 2016-03-11 |
| 1770957185 | Pomerene Hospital | General Acute Care Hospital | 981 Wooster Rd, Millersburg, OH 44654-1536 | 2015-11-23 |
| 1467713693 | Morrow County Hospital | General Acute Care Hospital | 651 W Marion Rd, Mount Gilead, OH 43338-1027 | 2012-06-05 |
| Find all providers with the same taxonomy | ||||
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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.