David Stephen Freitag, M.D.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

ME103242 Issued in FL

Practice address

26800 S Tamiami TRL
Suite 360
Bonita Springs, FL 34134-4349

Phone

(239) 495-1234

Fax

(239) 495-2345

NPI assigned

Feb 28, 2006

Last updated

Mar 18, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Skin Cancer Center of Naples LLC

  dba Skin Cancer Center of Bonita Springs

  • Family Nurse Practitioner
  • Bonita Springs, FL
  • NPI 1164875936
  NPD (past) Authorized official
• The Skin Cancer Surgery Center of Naples, LLC

  dba scscnaples

  • MOHS-Micrographic Surgery Physician
  • Naples, FL
  • NPI 1164742383
  Authorized official Same address or phone
• Florida Coastal Surgery Center, Inc

  • Ambulatory Surgical Clinic/Center
  • Naples, FL
  • NPI 1003812686
  NPD (past)
• Skin Cancer Surgery Center, LLC

  • MOHS-Micrographic Surgery Physician
  • Bethesda, MD
  • NPI 1942276852
  NPD (past)

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1053387050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29170 POSITANO COURT",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341102851",
            "telephone_number": "239-594-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26800 S TAMIAMI TRL",
            "address_2": "SUITE 360",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344349",
            "telephone_number": "239-495-1234",
            "fax_number": "239-495-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREITAG",
        "first_name": "DAVID",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "VA",
            "license": "101044482",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME103242",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "WA",
            "license": "MD60147325",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "145AU",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004044200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fort Myers Infusion, LLC (Vital Care of Fort Myers)
• Jennifer Lynn Foster, DC
• Foundation Dental Center, PLLC
• Daniel Fox, DPT
• Ana Cecilia Del Duca Frazao
• French Chiropractic Center PA
• Rebecca Fritchey
• Jonah Joseph Frost, M.S. PT
• Stephanie Mary Frost, MSOTR/L
• Jodi Lyn Fulton Dunn, MSN, FNP-BC

• MOHS-Micrographic Surgery Physician in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• MOHS-Micrographic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.