SURGERY CENTER OF FREMONT, LLC (NPI# 1437102241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437102241 |
| Entity Type | Organization |
| Organization Name | SURGERY CENTER OF FREMONT, LLC |
| Practice Address |
2727 N Clarkson St Fremont NE 68025-7713 |
| Practice Telephone | 4027278500 |
| Practice Fax Number | 4027211065 |
| Mailing Telephone | 4027278500 |
| Mailing Fax Number | 4027211065 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-01-17 |
| Authorized Official Name | JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 6152345900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
ASC007 | NE | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 1002537100 | 05 | |
| RR MEDICARE | P00302981 | 01 |
| Street Address |
2727 N CLARKSON ST |
| City | FREMONT |
| State | NE |
| Zip Code | 68025-7713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770812679 | Surgery Center of Fremont LLC | Anesthesiology | 2727 N Clarkson St, Fremont, NE 68025-7713 | 2009-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710456934 | Methodist Fremont Health | Pharmacy | 450 E 23rd, Fremont, NE 68025 | 2018-11-16 |
| 1811484546 | Cynthia Jane Cusick | Social Worker | 748 North Main Street, Fremont, NE 68025 | 2018-04-18 |
| 1891298196 | Hergenrader Dental Rehab PC | Dentist | 3102 East Elk Lane, Fremont, NE 68025 | 2018-03-13 |
| 1982142857 | Paula Y. Walla | Speech-Language Pathologist | 130 E. 9th St., Fremont, NE 68025 | 2017-02-10 |
| 1619326709 | Debra Baker | Nurse Practitioner | 3140 Elk Ln Ste 600, Fremont, NE 68025 | 2016-06-09 |
| 1912368069 | Nicole Henkel | Occupational Therapist | 450 East 23rd, Fremont, NE 68025 | 2016-03-17 |
| 1265818017 | Orchid of Hope Counseling | Exclusive Provider Organization | 1919 North Broad Street, Fremont, NE 68025 | 2015-08-04 |
| 1265770366 | James N Orr | Pharmacist | 840 E 23 St, Fremont, NE 68025 | 2013-01-24 |
| 1902156086 | Penelope Anastasia Stoll | Speech-Language Pathologist | Nye Legacy, 3210 N. Clarkson St, Fremont, NE 68025 | 2012-09-14 |
| 1144582685 | Diane Marie Gehring | Case Management | 105 East 12th Street, Fremont, NE 68025 | 2012-06-11 |
| Find all providers in zip 68025 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960536 | Lake George Surgery Center, LLC | Clinic/Center | 6245 N Old 27 Ste A10, Fremont, IN 46737-8707 | 2020-07-24 |
| 1912416199 | Advanced Interventional Surgical Center | Clinic/Center | 3077 Stevenson Blvd, Fremont, CA 94538 | 2017-09-20 |
| 1750828109 | Webster Surgery Center, Lp | Clinic/Center | 39180 Farwell Drive, Suite 100, Fremont, CA 94538 | 2017-01-24 |
| 1255793758 | Mission Surgery Center, Inc. | Clinic/Center | 38437 Mission Blvd, Suite 102, Fremont, CA 94536-4318 | 2016-03-23 |
| 1306241534 | Sutter Bay Medical Foundation | Clinic/Center | 3120 Kearney St, Fremont, CA 94538-2292 | 2014-10-30 |
| 1780996868 | Fremont Surgery Center North | Clinic/Center | 39472 Paseo Padre Pkwy, Fremont, CA 94538-2310 | 2010-07-06 |
| 1497996524 | Sutter Bay Medical Foundation | Clinic/Center | 3140 Kearney St, Fremont, CA 94538-2292 | 2009-03-19 |
| 1649489832 | Fremont Surgical Center, LLC | Clinic/Center | 840 E 29th Street, Fremont, NE 68025 | 2007-05-22 |
| 1851369284 | Fremont Ambulatory Surgery Center, Lp | Clinic/Center | 39350 Civic Center Dr Suite 100, Fremont, CA 94538-2331 | 2006-03-10 |
| 1356729636 | R Choice Surgical Center LLC | Clinic/Center | 2900 Elk Ln, Fremont, NE 68025-2433 | 2015-05-07 |
| Find all providers in FREMONT | ||||
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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.