Jack P Freer, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

127507 Issued in NY

Practice address

900 Hertel Ave
Buffalo, NY 14216-2611

Phone

(716) 871-1571

NPI assigned

Feb 6, 2006

Last updated

Aug 11, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Kaleida Health

  dba Buffalo General Hospital

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1639209596
  NPD

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218412800000",
    "number": "1154393015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 HERTEL AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142162611",
            "telephone_number": "716-871-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HERTEL AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142162611",
            "telephone_number": "716-871-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREER",
        "first_name": "JACK",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2008-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "127507",
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "127507",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Nicole Freeman, NP
• Diane Freeman, MSW
• Erica Lavaughn Freeman
• Veronica Freeman, CASAC
• Julia Freemire
• Kara Anne Freise
• Amanda Ann Freitas, RN
• Cassidy Grace French, LCSW
• Lauren Murphy French
• Adrienne Gertrude Frerichs-Racheli, RDH

• Internal Medicine Physician in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.