NPIMap

Organization Active NPI

Daniel P Freeman MD PC

  • Neurology Physician
  • Jackson, MI
National Provider Identifier
1255520573
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
4301055814 Issued in MI
Legal business name
DANIEL P FREEMAN MD PC
Practice address
900 E Michigan Ave Ste 102
Jackson, MI 49201-2490
Phone
(517) 788-8408
NPI assigned
Oct 23, 2007
Last updated
Nov 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Dr. Daniel P Freeman, MDNPI 1336107374
Title
Owner
Phone
(517) 788-8408

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 4301055814 MI Primary

Addresses

Primary practice location

900 E Michigan Ave Ste 102
Jackson, MI 49201-2490

Mailing address

900 E Michigan Ave Ste 102
Jackson, MI 49201-2490
Phone (517) 788-8408

Other identifiers 1

IdentifierTypeStateIssuer
3238577MedicaidMI

Other names 1

  • DANIEL P FREEMAN MD PC Other name

National Provider Directory

National Provider Directory

Locations

1100 E Michigan Ave
Ste 302
Jackson, MI 49201
Phone (517) 788-8408

900 E Michigan Ave
Ste 102
Jackson, MI 49201
Phone (517) 205-2101

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1255520573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E MICHIGAN AVE STE 102",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012490",
            "telephone_number": "517-788-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E MICHIGAN AVE STE 102",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012490",
            "telephone_number": "517-788-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL P FREEMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-788-8408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301055814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3238577",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DANIEL P FREEMAN MD PC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "DANIEL P FREEMAN MD PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.