Healthcare Provider Details

I. General information

NPI: 1518120971
Provider Name (Legal Business Name): FREMONT EMERGENCY SERVICES SCHERR LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2008
Last Update Date: 04/01/2021
Certification Date: 04/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3186 S MARYLAND PKWY
LAS VEGAS NV
89109-2317
US

IV. Provider business mailing address

PO BOX 638972
CINCINNATI OH
45263-8972
US

V. Phone/Fax

Practice location:
  • Phone: 702-731-8585
  • Fax: 702-836-3891
Mailing address:
  • Phone: 925-924-1600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number StateNV

VIII. Authorized Official

Name: ASHLIE N DAVIS
Title or Position: MANAGER
Credential:
Phone: 281-384-0800