North State Cancer Specialty Inc

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

G73860 Issued in CA

Legal business name

NORTH STATE CANCER SPECIALTY INC

Practice address

2510 Airpark Dr
Suite 103
Redding, CA 96001

Phone

(530) 242-8822

Fax

(530) 242-0849

NPI assigned

Apr 25, 2006

Last updated

Mar 3, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jed L Freeman, MDNPI 1275669038

Title

Pres

Phone

(530) 242-8822

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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.

• Jed Loren Freeman, M.D.

  • Hematology & Oncology Physician
  • Redding, CA
  • NPI 1275669038
  Authorized official Same address or phone

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1396701546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 496084",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960496084",
            "telephone_number": "530-241-0473",
            "fax_number": "530-241-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 AIRPARK DR",
            "address_2": "SUITE 103",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96001",
            "telephone_number": "530-242-8822",
            "fax_number": "530-242-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STATE CANCER SPECIALTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "JED",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "530-242-8822",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G73860",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OH",
            "license": "35-056102F",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norman Wall DO Incorporated
• Aaron Andrew Norman, DDS
• Andrew S Norman, DDS
• Tracy Ann Norman, RN
• North Point Community Services
• North State Family Counseling Center Inc (Avida Counseling Group)
• North State Social Work & Psychotherapy Services Inc a Licen (North State SWAPS)
• North State Surgery Centers LP (Court Street Surgery Center)
• North State Surgery Centers, LP (Mercy Surgery Center)
• North Valley Breast Clinic

• Hematology & Oncology Physician in Redding, CA
• Providers in Redding, CA by specialty
• Hematology & Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.