Active NPI
Christine S. Freemer, MD
- Pediatrics Physician
- Worcester, MA
National Provider Identifier
1467551879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 202628
- Practice address
- 291 Lincoln St Ste 101
Worcester, MA 01605-3643 - Phone
- (508) 752-7888
- Fax
- (508) 752-6536
- NPI assigned
- Sep 22, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 202628 | MA | Primary |
Addresses
Primary practice location
291 Lincoln St Ste 101
Worcester, MA 01605-3643
Mailing address
372 Chandler St
Suite 104
Worcester, MA 01602-3300
Phone (508) 767-3997
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110003191A | Medicaid | MA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cfreemer273943@UmassMemorial.direct-ci.com | ||
| FHIR URL | https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202628 | MA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Health Care Cooperative | Pediatrics | Current | Accepting new patients |
Locations
372 Chandler St
Ste 104
Worcester, MA 01602
Phone (508) 273-8885
Interoperability endpoints
- cfreemer273943@umassmemorial.direct-ci.com
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Worcester, MA
- NPI 1730544461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605052800000",
"number": "1467551879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "372 CHANDLER ST",
"address_2": "SUITE 104",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016023300",
"telephone_number": "508-767-3997",
"fax_number": "508-767-3999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "291 LINCOLN ST STE 101",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016053643",
"telephone_number": "508-752-7888",
"fax_number": "508-752-6536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMER",
"first_name": "CHRISTINE",
"middle_name": "S.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2020-11-11",
"certification_date": "2020-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "202628",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110003191A",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cfreemer273943@UmassMemorial.direct-ci.com",
"affiliation": "N",
"address_1": "291 Lincoln St Ste 101",
"city": "Worcester",
"state": "MA",
"country_code": "US",
"postal_code": "016053643",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "291 Lincoln St Ste 101",
"city": "Worcester",
"state": "MA",
"country_code": "US",
"postal_code": "016053643",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.