Active NPI
Richard B Freeborn, CRNA
- Certified Registered Nurse Anesthetist
- Claremore, OK
National Provider Identifier
1225258916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R0031491
- Practice address
- 1202 N Muskogee PL
Claremore, OK 74017-3058 - Phone
- (918) 341-2556
- Fax
- (918) 342-7850
- NPI assigned
- Apr 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R0031491 | OK | Primary |
Addresses
Primary practice location
1202 N Muskogee PL
Claremore, OK 74017-3058
Mailing address
1202 N Muskogee PL
Claremore, OK 74017-3058
Phone (918) 341-2556
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100780970A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29086 | OK | MD | Anesthesiology Physician |
| R0031491 | OK | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Claremore Physicians LLC | Past | Accepting new patients | |
| Ahs Oklahoma Physician Group LLC | Past | Accepting new patients | |
| Clinical Partners PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Claremore Anesthesia LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Interoperability endpoints
- https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Tulsa, OK
- NPI 1235182775
-
- Certified Registered Nurse Anesthetist
- Claremore, OK
- NPI 1285810051
Nurse Anesthetist, Certified Registered
-
- Clinic/Center
- Claremore, OK
- NPI 1982692216
-
- Anesthesiology Physician
- Corpus Christi, TX
- NPI 1215995816
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314576000000",
"number": "1225258916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 N MUSKOGEE PL",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740173058",
"telephone_number": "918-341-2556",
"fax_number": "918-342-7850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 N MUSKOGEE PL",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740173058",
"telephone_number": "918-341-2556",
"fax_number": "918-342-7850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEBORN",
"first_name": "RICHARD",
"middle_name": "B",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2011-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "R0031491",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100780970A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Claremore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.