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FREMONT WOMEN'S HEALTH LLC NPI 1255318648


NPI Information

NPI: 1255318648
Provider Name: FREMONT WOMEN'S HEALTH, LLC

Former Legal Business Name: FREMONT WOMENS HEALTH CARE

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
3196 S MARYLAND PKWY
SUITE 303
LAS VEGAS, NV
ZIP 89109
Phone: (702) 383-2919
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FREMONT WOMEN'S HEALTH, LLC is an obstetrics gynecology in Las Vegas, NV. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. FREMONT WOMEN'S HEALTH, LLC NPI is 1255318648. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Fremont Womens Health Care.

The provider's business location address is:

3196 S MARYLAND PKWY
SUITE 303
LAS VEGAS, NV
ZIP 89109-305
Phone: (702) 383-2919
Fax: (702) 383-2886

The provider's authorized official is Jon Greg Griffin .
The authorized official title is Ceo and has the following contact phone number (702) 671-6800.

The enumeration date for this NPI number is 12/27/2005 and was last updated on 1/15/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12471S1302XRadiologic TechnologistSonographyNo
2363A00000XPhysician AssistantNo
3363LX0001XNurse PractitionerObstetrics & GynecologyNo
4207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100501006MEDICAIDNEVADA
2BA909MEDICARE PINNEVADA
3V37629MEDICARE PINNEVADA
437629MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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