Individual provider Active NPI

Rebecca Freeman, M.D.

  • Surgery Physician
  • Olympia, WA
National Provider Identifier
1205064565
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD60705487 Issued in WA
Practice address
3610 Ensign Rd NE
Olympia, WA 98506-5025
Phone
(360) 493-5252
Fax
(360) 493-5257
NPI assigned
Jun 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD60705487 WA Primary
Surgery Physician 208600000X LP01595 RI
Surgery Physician 208600000X MD14512 RI

Addresses

Primary practice location

3610 Ensign Rd NE
Olympia, WA 98506-5025

Mailing address

3610 Ensign Rd NE
Olympia, WA 98506-5025
Phone (360) 493-5252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170105001650 WA Practitioner - General Surgery 6901029602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Baylor College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgical Associates PLLCGroup PAC ID 5395633572, 8 clinicians

Practice addresses (Care Compare)

3610 Ensign Rd NE
Olympia, WA 98506-5025
Phone (360) 493-5252

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)11
Hernia repair (minimally invasive)1-10
Mastectomy21
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
LP01595RIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Associates PLLC CurrentSince Feb 1, 2017 Accepting new patients
Steven D Colquhoun MD a Medical Corporation Past Accepting new patients
Jefferson County Public Hospital District No 2 PastSince Feb 1, 2017 Accepting new patients
Providence Health & Services Washington Past Accepting new patients
Sgla Surgical Partners Surgery Past Accepting new patients

Locations

3525 Ensign Rd NE
Ste J
Olympia, WA 98506
Phone (240) 463-4101

413 Lilly Rd NE
Olympia, WA 98506
Phone (360) 491-9480

3610 Ensign Rd NE
Olympia, WA 98506
Phone (360) 493-5252

Interoperability endpoints

  • Direct secure messaging: rebecca.freeman.1@9971.direct.athenahealth.com

Organizations & group practices 5

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 4

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": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1205064565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 ENSIGN RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065025",
            "telephone_number": "360-493-5252",
            "fax_number": "360-493-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 ENSIGN RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065025",
            "telephone_number": "360-493-5252",
            "fax_number": "360-493-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD60705487",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "RI",
            "license": "LP01595",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "RI",
            "license": "MD14512",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.