Freyda Neyman, MD
Individual provider Active NPI Pediatrics Physician · South Royalton, VT
NPI 1073604278 · NPPES record last updated Oct 26, 2022
Key facts
- NPI
- 1073604278
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 042.0013538 (VT)
- Practice address
- South Royalton Health Center
79 South Windsor St
South Royalton, VT 05068-0119 - Phone
- (802) 763-7575
- Fax
- (802) 763-2190
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190830000603 | VT | Practitioner - Pediatric Medicine | 3577744275 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042.0013538 | VT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Vermont Medical Center Inc | Current |
Accepting new patients | |
| Central Vermont Medical Center Inc | Pediatrics | Current |
Accepting new patients |
Locations
246 Granger Rd
Ste 1
Barre, VT 05641
Phone (802) 371-5950
130 Fisher Rd
Barre, VT 05641
Phone (802) 371-4235
130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 042.0013538 | VT | Yes |
Addresses
Primary practice location
South Royalton Health Center
79 South Windsor St
South Royalton, VT 05068-0119
Mailing address
PO Box 119
South Royalton, VT 05068-0119
Phone (802) 763-7575
Other providers in South Royalton, VT
- Amelia P Lincoln
- Katrina McHugh
- Ashley Ann Miller
- Mindful Matters LLC
- Zoe Newmarco
- Annette Elisa Petrucelli
- Isaiah Rashad II
- Rebecca a Foulk MD PC
- Ruth Anne Richardson
- Royalton Fire District 1
All providers in South Royalton, VT · Pediatrics Physician in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.