Active NPI
Alan M Freedman, M.D.
- Dermatopathology Physician
- Tampa, FL
National Provider Identifier
1013948363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology Physician
- License
- ME75116
- Practice address
- 4412 W Osborne Ave
Tampa, FL 33614-6963 - Phone
- (813) 914-9100
- Fax
- (239) 278-1159
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology Physician | 207ND0900X | ME75116 | FL | Primary |
Addresses
Primary practice location
4412 W Osborne Ave
Tampa, FL 33614-6963
Mailing address
4412 W Osborne Ave
Tampa, FL 33614-6963
Phone (813) 914-9100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freepath PL | Past | Accepting new patients | |
| Psychology Specialists LTD | Past | Accepting new patients | |
| Atlantic Medical Partners, PL | Past | Accepting new patients | |
| Edgewood Clinical Services, P.C. | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- Ormond Beach, FL
- NPI 1952630170
-
- Clinical & Laboratory Dermatological Immunology Physician
- Tampa, FL
- NPI 1689867418
-
- Psychologist
- Naperville, IL
- NPI 1295914646
-
- Clinical Psychologist
- Bloomington, IL
- NPI 1053368605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217894400000",
"number": "1013948363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4412 W OSBORNE AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336146963",
"telephone_number": "813-914-9100",
"fax_number": "239-278-1159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4412 W OSBORNE AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336146963",
"telephone_number": "813-914-9100",
"fax_number": "239-278-1159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEDMAN",
"first_name": "ALAN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2008-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "FL",
"license": "ME75116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.