Organization Active NPI

Harris L Freedman, DO, Inc

  • Internal Medicine Physician
  • Chagrin Falls, OH
National Provider Identifier
1497080972
Registry record updated Oct 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34-00-3143F Issued in OH
Legal business name
HARRIS L FREEDMAN, DO, INC
Practice address
9775 Taylor May Rd
Chagrin Falls, OH 44023-2422
Phone
(440) 477-9909
Fax
(440) 975-1760
NPI assigned
Oct 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2009

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

Authorized official

Name
Mr. Harris Lee Freedman, D.O.
Title
Owner
Phone
(440) 477-9909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 34-00-3143F OH Primary

Addresses

Primary practice location

9775 Taylor May Rd
Chagrin Falls, OH 44023-2422

Mailing address

9775 Taylor May Rd
Chagrin Falls, OH 44023-2422
Phone (440) 477-9909

Other identifiers 1

IdentifierTypeStateIssuer
0555153MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1497080972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9775 TAYLOR MAY RD",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440232422",
            "telephone_number": "440-477-9909",
            "fax_number": "440-975-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9775 TAYLOR MAY RD",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440232422",
            "telephone_number": "440-477-9909",
            "fax_number": "440-975-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS L FREEDMAN, DO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-16",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "FREEDMAN",
        "authorized_official_first_name": "HARRIS",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-477-9909",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34-00-3143F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0555153",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chagrin Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.