Individual provider Active NPI

Rosanne Beth Freeman Paz, MD

  • Internal Medicine Physician
  • Gaylord, MI
National Provider Identifier
1205806593
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301086881 Issued in MI
Practice address
508 Random LN
Gaylord, MI 49735-9304
Phone
(989) 732-3508
Fax
(989) 731-5260
NPI assigned
Jan 26, 2006
Last updated
Oct 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301086881 MI Primary
Family Medicine Physician 207Q00000X 4301086881 MI

Addresses

Primary practice location

508 Random LN
Gaylord, MI 49735-9304

Mailing address

10850 E Traverse Hwy
Ste. 4400
Traverse City, MI 49684-1364
Phone (231) 346-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20060213000337 MI Practitioner - Internal Medicine 6002821097 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Inpatient Physicians-Michigan, PLLC Family Medicine CurrentSince May 29, 2019 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC Family Medicine CurrentSince May 29, 2019 Accepting new patients
Hospitalist Medicine Physicians of Michigan - Saginaw PLLC Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Petoskey Opco, LLC Past Accepting new patients
Charlevoix Nursing Home Corporation Past Accepting new patients
Indigo Hospital Medicine - Cadillac, PLC Family Medicine Past Accepting new patients

Locations

1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

1000 Pavilions Cir
Traverse City, MI 49684
Phone (231) 932-3000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1205806593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10850 E TRAVERSE HWY",
            "address_2": "STE. 4400",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496841364",
            "telephone_number": "231-346-6800",
            "fax_number": "231-346-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 RANDOM LN",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497359304",
            "telephone_number": "989-732-3508",
            "fax_number": "989-731-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN PAZ",
        "first_name": "ROSANNE",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301086881",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301086881",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

Verify at the official NPI Registry.