Samuel Polen Freedman, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD09524 Issued in OR

Practice address

1500 Division St
Oregon City, OR 97045-1527

Phone

(503) 657-6742

NPI assigned

Jun 8, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Emergency Medicine Specialists LLC

  • Emergency Medicine Physician
  • Oregon City, OR
  • NPI 1851434815
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260921600000",
    "number": "1023059664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "0305 SW MONTGOMERY ST",
            "address_2": "#308",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 DIVISION ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451527",
            "telephone_number": "503-657-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEDMAN",
        "first_name": "SAMUEL",
        "middle_name": "POLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2009-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD09524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006903",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adeanna L Frank
• Lorraine J Franz, LCSW
• Fred Meyer Stores Inc
• Lori Freed, PT
• Freedman Corporation
• Misty Freeman, RDH
• Rachel French
• Stefanie Friberg, NP
• Suzanne Frieberg, FNP
• Nathan Donald Friedkin

• Emergency Medicine Physician in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Emergency Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.