OrganizationActive
Fremont Family Medicine PC
NPI 1255704177 · Primary Care Clinic/Center · Saint Anthony, ID
Provider details
- NPI number
- 1255704177
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ronald Ellsworth, Doctor/Owner(208) 680-2716
- License
- M-11978 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
30 W Main St
Saint Anthony, ID 83445-2113
Phone: (208) 680-2716
Street-level locationGet directions
Mailing address
30 W Main St
Saint Anthony, ID 83445-2113
Registry dates
- Enumerated
- 2015-11-02
- Last updated
- 2015-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.