Individual provider Active NPI

Eric F Freed, D.C.

  • Chiropractor
  • Athens, OH
National Provider Identifier
1104812908
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3193 Issued in OH
Practice address
14 W Stimson Ave
Athens, OH 45701-2647
Phone
(740) 589-2225
Fax
(740) 589-2220
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3193 OH Primary

Addresses

Primary practice location

14 W Stimson Ave
Athens, OH 45701-2647

Mailing address

739 Campbell Dr
Belpre, OH 45714-1217
Phone (304) 481-5619

Other practice location 1

604 Washington Blvd
Belpre, OH 45714-2465
Phone (740) 423-6325

Other identifiers 1

IdentifierTypeStateIssuer
2268095/0690793MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051201000000 OH Practitioner - Chiropractic 1951321454

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

604 Washington Blvd
Belpre, OH 45714-2465

Hospital & facility affiliations

  • Marietta Memorial Hospital Hospital, Marietta, OH, CCN 360147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3193OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Physical Therapy LLC CurrentSince Sep 7, 2016 Accepting new patients
Advanced Family Chiropractic Center Chiropractor Past Accepting new patients
Advanced Family Chiropractic LLC Chiropractor Past Accepting new patients

Locations

604 Washington Blvd
Belpre, OH 45714
Phone (740) 423-3330

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1104812908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 CAMPBELL DR",
            "city": "BELPRE",
            "state": "OH",
            "postal_code": "457141217",
            "telephone_number": "304-481-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 W STIMSON AVE",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012647",
            "telephone_number": "740-589-2225",
            "fax_number": "740-589-2220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "604 Washington Blvd",
            "address_purpose": "LOCATION",
            "city": "Belpre",
            "state": "OH",
            "postal_code": "457142465",
            "country_code": "US",
            "telephone_number": "740-423-6325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREED",
        "first_name": "ERIC",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2268095/0690793",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.