Stuart Vincent Freeman, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD00015598 Issued in WA

Practice address

2320 Ferndale Avenue
Richland, WA 99354-1975

Phone

(509) 375-5575

NPI assigned

Oct 14, 2005

Last updated

Oct 24, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1205825015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 FERNDALE AVENUE",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993541975",
            "telephone_number": "509-375-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 FERNDALE AVENUE",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993541975",
            "telephone_number": "509-375-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "STUART",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00015598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1716208",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Lynn Fraser, OTR/L
• Fred M Foss, MD
• Fred Meyer Stores Inc (Fred Meyer Pharmacy)
• Rian C. Frederick, ARNP
• Brian Larry Freeman, D.P.M.
• Kristina Louise French, LICSW, CMHS, RPT
• Gerald Charles Frey, MD
• Bradley R Friehauf, PHARMACIST
• Jeanette Alice Friehauf, RPH
• Amanda Friese, PA-C

• Internal Medicine Physician in Richland, WA
• Providers in Richland, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.