Individual provider Active NPI

Anna M Freeman, PA

  • Physician Assistant
  • Berlin, MD
National Provider Identifier
1295734069
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0001366 Issued in MD
Practice address
11101 Cathage Rd.
Berlin, MD 21811
Phone
(410) 912-6104
Fax
(410) 912-6105
NPI assigned
Jul 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0001366 MD Primary
Physician Assistant 363A00000X C5-0000381 DE

Addresses

Primary practice location

11101 Cathage Rd.
Berlin, MD 21811

Mailing address

100 E Carroll St
Salisbury, MD 21801-5422
Phone (410) 543-7531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040414001723 MD Practitioner - Physician Assistant 1557356151 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C5-0000381DEMDPhysician Assistant
C0001366MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tidalhealth Peninsula Regional, Inc. CurrentSince Jun 6, 2005 Accepting new patients
Tidalhealth Peninsula Regional, Inc. Physician Assistant CurrentSince Jun 6, 2005 Accepting new patients
Sussex Emergency Associates LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Franklin Square Hospital Center, Inc. Past Accepting new patients
Helixcare Medical Group, LLC Past Accepting new patients

Locations

30668 Sussex Hwy
Laurel, DE 19956
Phone (302) 251-8870

11101 Cathage Rd
Ocean Pnes, MD 21811
Phone (410) 543-4769

145 E Carroll St
Salisbury, MD 21801
Phone (410) 546-6400

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

106 Milford St
Ste 201
Salisbury, MD 21804
Phone (410) 543-1616

428 W Market St
Snow Hill, MD 21863
Phone (410) 632-0892

6295 Teal Ln
Chincoteague Island, VA 23336
Phone (757) 336-2200

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1295734069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CARROLL ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015422",
            "telephone_number": "410-543-7531",
            "fax_number": "410-912-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11101 CATHAGE RD.",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "21811",
            "telephone_number": "410-912-6104",
            "fax_number": "410-912-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "ANNA",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0001366",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0000381",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, MD

Sources for this page

Verify at the official NPI Registry.