Organization Active NPI

George Edward Freeman, D.O.,P.C.

  • Internal Medicine Physician
  • Idabel, OK
National Provider Identifier
1124194568
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3192 Issued in OK
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Authorized official

Name
Dr. George Edward Freeman, DONPI 1417957259
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
100253460AMedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081002000574 OK Part B Supplier - Clinic/Group Practice 5991873036 Receives reassigned benefits from 1 practitioner
Practice locations: Idabel, OK

National Provider Directory

National Provider Directory

Locations

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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.