Earl R Freeman Jr., D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

835 Issued in ME

Practice address

21 Western Ave # a
Kennebunk, ME 04043-7354

Phone

(207) 967-3726

Fax

(207) 967-3702

NPI assigned

Jul 10, 2006

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2019 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Community Physicians PC

  • Methadone Clinic
  • Portland, ME
  • NPI 1316242209
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235163890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 648",
            "city": "KENNEBUNKPORT",
            "state": "ME",
            "postal_code": "040460648",
            "telephone_number": "207-967-3726",
            "fax_number": "207-967-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WESTERN AVE # A",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040437354",
            "telephone_number": "207-967-3726",
            "fax_number": "207-967-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "EARL",
        "middle_name": "R",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BX/BS",
            "identifier": "060928",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206880000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "352215816",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina Lynn Fox, PTA
• Colleen Fradette, LMHC, LCPC
• Fran S Kessler, LCSW
• Birgit Frandsen, LCSW
• Deborah A Freeman, RN FNP
• Janet Blake Freeman
• Noah R Frost, DMD
• Ann Mari Fryer, MS SLP CFY
• Kristin Anne Fuhrmann-Simmons, LCSW
• Calvin P. Fuhrmann, M.D.

• Family Medicine Physician in Kennebunk, ME
• Providers in Kennebunk, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.