Active NPI
George Edward Freeman, D.O.,P.C.
- Internal Medicine Physician
- Idabel, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 3192
- Legal business name
- GEORGE EDWARD FREEMAN, D.O.,P.C.
- Practice address
- 1425 E Lincoln Rd
Suite B-1
Idabel, OK 74745-7345 - Phone
- (580) 286-4949
- Fax
- (580) 286-4946
- NPI assigned
- Nov 28, 2006
- Last updated
- Mar 10, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. George Edward Freeman, DO
- Title
- President
- Phone
- (580) 286-4949
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 3192 | OK | Primary |
Addresses
Primary practice location
1425 E Lincoln Rd
Suite B-1
Idabel, OK 74745-7345
Mailing address
1425 E Lincoln Rd
Suite B-1
Idabel, OK 74745-7345
Phone (580) 286-4949
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100253460A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1425 E Lincoln Rd
Ste A4
Idabel, OK 74745
Phone (580) 208-2990
1425 E Lincoln Rd
Ste B1
Idabel, OK 74745
Phone (580) 286-4319
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AEGICD
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Idabel, OK
- NPI 1417957259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299715200000",
"number": "1124194568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 E LINCOLN RD",
"address_2": "SUITE B-1",
"city": "IDABEL",
"state": "OK",
"postal_code": "747457345",
"telephone_number": "580-286-4949",
"fax_number": "580-286-4946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 E LINCOLN RD",
"address_2": "SUITE B-1",
"city": "IDABEL",
"state": "OK",
"postal_code": "747457345",
"telephone_number": "580-286-4949",
"fax_number": "580-286-4946"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGE EDWARD FREEMAN, D.O.,P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-28",
"last_updated": "2011-03-10",
"status": "A",
"authorized_official_last_name": "FREEMAN",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "580-286-4949",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "OK",
"license": "3192",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100253460A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Idabel, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.