Martin Leon Freifeld, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

MD038850L Issued in PA

Practice address

32 Shrine VW
Dallas, PA 18612-9213

Phone

(570) 288-4800

Fax

(844) 292-5725

NPI assigned

Jun 11, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Renal Consultants of Wyoming Valley PC

  • Nephrology Physician
  • Wilkes Barre, PA
  • NPI 1659399111
  NPD (past)

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463270400000",
    "number": "1427285915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 SHRINE VW",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186129213",
            "telephone_number": "570-288-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 SHRINE VW",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186129213",
            "telephone_number": "570-288-4800",
            "fax_number": "844-292-5725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREIFELD",
        "first_name": "MARTIN",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-11",
        "last_updated": "2016-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PA",
            "license": "MD038850L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ME #",
            "identifier": "39606790019",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie M Ferguson, PHARMD
• Stephanie Fischer, LSW
• Natalie Lynn Fox, COTA
• Franklin and Northmoreland Townships Ambulance Association
• Jennifer Scarlett Franza, OTR/L
• Kristi Gabriele
• Rajendra Gajula, MD
• Jennifer Gallagher
• Garunga Inc
• Gastroenterology Specialists, Inc.

• Gynecology Physician in Dallas, PA
• Providers in Dallas, PA by specialty
• Gynecology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.