FREMONT ORTHOPAEDICS PLLC (NPI# 1942322946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942322946 |
| Entity Type | Organization |
| Organization Name | FREMONT ORTHOPAEDICS PLLC |
| Practice Address |
1401 W Main St Suite 100 Fremont MI 49412-1472 |
| Practice Telephone | 6166085285 |
| Mailing Telephone | 6166085285 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2015-07-15 |
| Authorized Official Name | MRS. MERRILYNNE GERTH (OFFICE MANAGER) |
| Authorized Official Telephone | 2319241266 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | PG054112 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4992805 | 05 |
| Street Address |
1401 W MAIN ST SUITE 100 |
| City | FREMONT |
| State | MI |
| Zip Code | 49412-1472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083117196 | Nichole Cruzan | Physical Therapist | 1401 W Main St, Fremont, MI 49412-1486 | 2018-03-15 |
| 1073016150 | Julie Kathleen Chilson | Occupational Therapist | 1401 W Main St, Fremont, MI 49412-1486 | 2018-03-14 |
| 1306349931 | Mary Ethel Lobrigas | Physical Therapist | 1401 W Main St, Fremont, MI 49412-1486 | 2018-03-09 |
| 1962904755 | Matthew Conrad Zahl | Physical Therapist | 1401 W Main St, Fremont, MI 49412-1486 | 2018-03-07 |
| 1801398698 | Ryan Thomas Gailey | Physical Therapist | 1401 W Main St, Fremont, MI 49412-1486 | 2018-03-07 |
| 1114429917 | Ashley Tomlinson | Physical Therapist | 1401 W Main St, Fremont, MI 49412-1486 | 2018-03-07 |
| 1447750146 | Beth Ann Vantreese | Physical Therapist | 1401 W Main St, Fremont, MI 49412-1486 | 2018-02-19 |
| 1326383506 | Shoreline Optical, LLC | Technician/Technologist | 1401 W Main St, Suite 101, Fremont, MI 49412-1486 | 2012-11-29 |
| 1447586094 | Newaygo County General Hospital Association | Dietitian, Registered | 1401 W Main St, Fremont, MI 49412-1486 | 2009-11-02 |
| 1588859797 | Shoreline Ophthalmology, PC | Ophthalmology | 1401 W Main St, Suite 101, Fremont, MI 49412-1486 | 2007-09-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437632437 | Claire Marie J Derks | Massage Therapist | 119 North Stone Road, Fremont, MI 49412 | 2018-09-14 |
| 1730565946 | Retirement Living Management of Fremont, L.L.C. | Assisted Living Facility | 801 E. Main Street, Fremont, MI 49412 | 2015-08-11 |
| 1497136410 | James Yon | Social Worker | 3682 S Maple Island Rd, Fremont, MI 49412 | 2015-06-16 |
| 1871864090 | Cheryl Lee Kublin | Specialist | 4554 W. 48th St, Fremont, MI 49412 | 2012-01-19 |
| 1326319583 | Colleen M Rice | Occupational Therapist | 4554 W. 48th Street, Fremont, MI 49412 | 2012-01-19 |
| 1154578847 | Greenlund Enterprises, Inc | Hearing Aid Equipment | 28 Wet Sheridan Street, Fremont, MI 49412 | 2008-08-25 |
| 1225170699 | Raymond Prins IIi | Dentist | 855 N Darling, Fremont, MI 49412 | 2007-02-13 |
| 1508933789 | Charles Merle Erickson | Dentist | 16 W Sheridan, Fremont, MI 49412 | 2006-11-30 |
| 1588741300 | Christopher Callis Niquette | Dentist | 327 Apache Dr, Fremont, MI 49412 | 2006-11-01 |
| 1417041179 | Newaygo County Resa | Local Education Agency (LEA) | 4747 W. 48th Street, Fremont, MI 49412 | 2006-10-03 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841428307 | Joshua Mark Matthews | Orthopaedic Surgery | 39180 Farwell Dr Ste 231, Fremont, CA 94538 | 2009-06-23 |
| 1225290752 | Andre Nicolas Gay | Orthopaedic Surgery | 39180 Farwell Dr Ste 110, Fremont, CA 94538-1015 | 2008-06-26 |
| 1356564991 | Heartland Orthopaedic and Sports Medicine Clinic LLC | Orthopaedic Surgery | 2740 N Clarkson Suite 100, Fremont, NE 68025-7716 | 2007-04-11 |
| 1497839708 | Max Moses | Orthopaedic Surgery | 2400 Country Dr, Suite 100, Fremont, CA 94536-5329 | 2006-10-24 |
| 1053323931 | Soheil Motamed | Orthopaedic Surgery | 39350 Civic Center Drive, Ste. 300, Fremont, CA 94538-2331 | 2006-08-12 |
| 1609888593 | Mission Peak Orthopaedic Medical Group, Inc | Orthopaedic Surgery | 39350 Civic Center Dr Ste 300, Fremont, CA 94538-2331 | 2006-08-12 |
| 1063446953 | Ricardo A. Molina | Orthopaedic Surgery | 39350 Civic Center Dr. Ste. 300, Fremont, CA 94538-2331 | 2006-07-10 |
| 1235193020 | Jan Eric Henstorf, M.d.apc | Orthopaedic Surgery | 38733 Stivers St, Fremont, CA 94536-5337 | 2006-04-17 |
| 1710962741 | Brett W Fischer | Orthopaedic Surgery | 3301 E Elkhorn Dr, Fremont, NE 68025-6239 | 2005-12-13 |
| 1700860236 | Christopher Langdon Ihle | Orthopaedic Surgery | 2740 N Clarkson Street, Fremont, NE 68025-7720 | 2005-11-29 |
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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.