Individual provider Active NPI

Roseann J Freundel, DO

  • Obstetrics & Gynecology Physician
  • Norton, VA
National Provider Identifier
1497933063
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0102202500 Issued in VA
Practice address
102 15TH St NW
Suite 301
Norton, VA 24273-1627
Phone
(276) 679-1623
Fax
(276) 679-6811
NPI assigned
Feb 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OT011243 PA
Obstetrics Physician 207VX0000X DO2699 ME
Obstetrics & Gynecology Physician 207V00000X H91026 MD
Obstetrics & Gynecology Physician 207V00000X 0102202500 VA Primary

Addresses

Primary practice location

102 15TH St NW
Suite 301
Norton, VA 24273-1627

Mailing address

102 15TH St NW
Suite 301
Norton, VA 24273-1627
Phone (276) 679-1623

Other practice location 1

2206 Wilborn Ave
South Boston, VA 24592-1630
Phone (434) 517-8627

Other identifiers 3

IdentifierTypeStateIssuer
1497933063MedicaidVA
P00920877OtherRR MEDICARE
7100087150MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20210330000040 MD Practitioner - Obstetrics/Gynecology 0648316018 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OT011243PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Community Medical Group, Inc. CurrentSince Apr 1, 2021 Accepting new patients
Obhg Maryland PC Obstetrics & Gynecology CurrentSince Mar 5, 2021 Accepting new patients
Obhg Maryland PC Obstetrics & Gynecology CurrentSince Mar 5, 2021 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Apr 1, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

219 S Washington St
Easton, MD 21601

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1497933063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 15TH ST NW",
            "address_2": "SUITE 301",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242731627",
            "telephone_number": "276-679-1623",
            "fax_number": "276-679-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 15TH ST NW",
            "address_2": "SUITE 301",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242731627",
            "telephone_number": "276-679-1623",
            "fax_number": "276-679-6811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2206 Wilborn Ave",
            "address_purpose": "LOCATION",
            "city": "South Boston",
            "state": "VA",
            "postal_code": "245921630",
            "country_code": "US",
            "telephone_number": "434-517-8627",
            "fax_number": "434-517-8080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREUNDEL",
        "first_name": "ROSEANN",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OT011243",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "ME",
            "license": "DO2699",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "H91026",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0102202500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497933063",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00920877",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100087150",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton, VA

Sources for this page

Verify at the official NPI Registry.