Active NPI
Jennifer R Freeman, MD
- Obstetrics & Gynecology Physician
- Springfield, OR
National Provider Identifier
1033170519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD162349
- Practice address
- 3100 Martin Luther King Jr Pkwy
Springfield, OR 97477-7514 - Phone
- (541) 485-2777
- Fax
- (541) 246-2353
- NPI assigned
- Apr 1, 2006
- Last updated
- Oct 17, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 42614 | CO | |
| Obstetrics & Gynecology Physician | 207V00000X | MD162349 | OR | Primary |
Addresses
Primary practice location
3100 Martin Luther King Jr Pkwy
Springfield, OR 97477-7514
Mailing address
PO Box 70368
Springfield, OR 97475-0120
Phone (541) 485-2777
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500660793 | Medicaid | OR | |
| 80637779 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3100 Martin Luther King Jr Pkwy
Springfield, OR 97477-7514
Phone (541) 342-8550
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42614 | CA | MD | Pharmacist |
| 42614 | CO | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Womens Care, PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Peacehealth | Past | Accepting new patients | |
| Boulder Womens Care PC | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
3100 Martin Luther King Jr Pkwy
Springfield, OR 97477
Phone (541) 342-8550
Networks
- devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Springfield, OR
- NPI 1144250044
-
- Obstetrics & Gynecology Physician
- Boulder, CO
- NPI 1295894178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381968000000",
"number": "1033170519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70368",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974750120",
"telephone_number": "541-485-2777",
"fax_number": "541-246-2353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 MARTIN LUTHER KING JR PKWY",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974777514",
"telephone_number": "541-485-2777",
"fax_number": "541-246-2353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "JENNIFER",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-01",
"last_updated": "2013-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CO",
"license": "42614",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OR",
"license": "MD162349",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500660793",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80637779",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, OR
- Alexis Frazee
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- Tyler Jacob Freed
- Freedom Path Counseling LLC
- Freedom Through Choices, LLC (Mental Health)
- Michaela Buchanan French, NP
- Fresenius Medical Care Dialysis Services - Oregon, LLC (Fresenius Medical Care Emerald Valley)
- Fresenius Medical Care Emerald Valley Home, LLC (Fresenius Medical Care Emerald Valley)
- Tanya Fresquez, FNP-C
- Darryl Alan Freudenthaler
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.