Individual provider Active NPI

Mark Wendell Freeman

  • Hearing Instrument Specialist
  • Owasso, OK
National Provider Identifier
1427727882
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
972 Issued in OK
Practice address
9045 N 121St East Ave Ste 1100
Owasso, OK 74055-5352
Phone
(918) 609-6550
NPI assigned
Sep 9, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 972 OK Primary

Addresses

Primary practice location

9045 N 121St East Ave Ste 1100
Owasso, OK 74055-5352

Mailing address

PO Box 2216
Owasso, OK 74055-9616
Phone (918) 606-2336

Other practice location 1

3019 SE Washington Blvd
Bartlesville, OK 74006-7629
Phone (918) 876-0228

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
972OKMDLong Term Care Hospital

NPI Registry JSON

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1427727882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2216",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740559616",
            "telephone_number": "918-606-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9045 N 121ST EAST AVE STE 1100",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740555352",
            "telephone_number": "918-609-6550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3019 SE Washington Blvd",
            "address_purpose": "LOCATION",
            "city": "Bartlesville",
            "state": "OK",
            "postal_code": "740067629",
            "country_code": "US",
            "telephone_number": "918-876-0228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "MARK",
        "middle_name": "WENDELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OK",
            "license": "972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.