NPIMap

Individual provider Active NPI

Stephen John Freshwater, M.D.

  • Family Medicine Physician
  • Arlington, OH
National Provider Identifier
1245215607
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-052289 Issued in OH
Practice address
906 North Main Street
Arlington, OH 45814-0319
Phone
(419) 365-5153
Fax
(419) 365-0081
NPI assigned
Dec 8, 2005
Last updated
Jul 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35-052289 OH Primary

Addresses

Primary practice location

906 North Main Street
Arlington, OH 45814-0319

Mailing address

906 North Main Street
P.O. Box 319
Arlington, OH 45814-0319
Phone (419) 365-5153

Other identifiers 2

IdentifierTypeStateIssuer
FR 0597792OtherOHMEDICARE ID
0660575MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120214000208 OH Practitioner - Family Practice 9133386329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arlington Family Practice, Inc.Group PAC ID 9638336811, 2 clinicians

Practice addresses (Care Compare)

906 N Main St
Arlington, OH 45814-9801
Phone (419) 365-5153

906 N Main St
PO Box 319
Arlington, OH 45814-0319

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.1 of 100Reported as group
Quality
81.76
Improvement activities
40
Cost
81.32

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-052289OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients
Arlington SNF Opco LLC Past Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1245215607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 NORTH MAIN STREET",
            "address_2": "P.O. BOX 319",
            "city": "ARLINGTON",
            "state": "OH",
            "postal_code": "458140319",
            "telephone_number": "419-365-5153",
            "fax_number": "419-365-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 NORTH MAIN STREET",
            "city": "ARLINGTON",
            "state": "OH",
            "postal_code": "458140319",
            "telephone_number": "419-365-5153",
            "fax_number": "419-365-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRESHWATER",
        "first_name": "STEPHEN",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-052289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "FR 0597792",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0660575",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, OH

Sources for this page

Verify at the official NPI Registry.