Active NPI
Nathan Freed, DO
- Medical Oncology Physician
- Phila, PA
National Provider Identifier
1285618850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- OS006031E
- Practice address
- 2301 E Allegheny Ave
Madel Pavilion 1St FL
Phila, PA 19134-4427 - Phone
- (215) 936-3880
- Fax
- (215) 926-3888
- NPI assigned
- Dec 6, 2005
- Last updated
- Jan 25, 2011
- 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 |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | OS006031E | PA | Primary |
Addresses
Primary practice location
2301 E Allegheny Ave
Madel Pavilion 1St FL
Phila, PA 19134-4427
Mailing address
2301 E Allegheny Ave
1St Floor
Phila, PA 19134-4427
Phone (215) 926-9022
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500525 | Other | PA | COVENTRY HEALTH AMERICA |
| 000868000 | Medicaid | PA | |
| 1644822 | Other | PA | HIGHMARK BLUE SHIELD |
| 30027706 | Other | PA | KMHP |
| 3Y5980 | Other | PA | HEALTH NET |
| 1238538 | Other | PW | UNITED HEALTHCARE |
| P00025016 | Other | PA | RR MEDICARE |
| 0003287701 | Other | PA | AMERICHOICE |
| 12844 | Other | PA | BRAVO HEALTH |
| 1029320 | Other | PA | AETNA HMO |
| 2319758000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 5808048 | Other | PA | AETNA PPO |
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
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS006031E | PA | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Behavioral Wellness Center at Girard | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Methadone Clinic
- Philadelphia, PA
- NPI 1598798928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295913600000",
"number": "1285618850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 E ALLEGHENY AVE",
"address_2": "1ST FLOOR",
"city": "PHILA",
"state": "PA",
"postal_code": "191344427",
"telephone_number": "215-926-9022",
"fax_number": "215-926-3888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 E ALLEGHENY AVE",
"address_2": "MADEL PAVILION 1ST FL",
"city": "PHILA",
"state": "PA",
"postal_code": "191344427",
"telephone_number": "215-936-3880",
"fax_number": "215-926-3888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREED",
"first_name": "NATHAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-06",
"last_updated": "2011-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "PA",
"license": "OS006031E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY HEALTH AMERICA",
"identifier": "500525",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000868000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1644822",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KMHP",
"identifier": "30027706",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "3Y5980",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1238538",
"state": "PW"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00025016",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "0003287701",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRAVO HEALTH",
"identifier": "12844",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "1029320",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "2319758000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "5808048",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phila, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.