Freeman Surgical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

FREEMAN SURGICAL CENTER LLC

Practice address

811 W. 34TH Street
Joplin, MO 64804

Phone

(417) 622-4262

NPI assigned

Jan 22, 2010

Last updated

Oct 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debbie Cizerle

Title

Administrator

Phone

(417) 622-4262

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Listed as

Freeman Surgical Center LLCCCN 26C0001142

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Freeman-Oak Hill Health System

  dba Freeman Ambulance Service

  • Ambulance
  • Anderson, MO
  • NPI 1043252646

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kent Douglas McIntire, DO

  • Otolaryngology/Facial Plastic Surgery Physician
  • Joplin, MO
  • NPI 1457331324
  NPD (past)

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1508197039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 W. 34TH STREET",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "64804",
            "telephone_number": "417-622-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W. 34TH STREET",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "64804",
            "telephone_number": "417-622-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEMAN SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "CIZERLE",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "417-622-4262"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christa Nicole Frazier, PHARM D
• Ericka Freeborn
• Blair Joelle Freed, DO
• Freeman Health System
• Freeman Health System Nwa, LLC (Physician Group NWA)
• Freeman-Oak Hill Health System (Freeman Health System)
• Freeman-Oak Hill Health System
• Freeman-Oak Hill Health System (Freeman Health System)
• Freeman-Oak Hill Health System (Freeman Health System)
• Freeman-Oak Hill Health System (Pink Door Boutique)

• Ambulatory Surgical Clinic/Center in Joplin, MO
• Providers in Joplin, MO by specialty
• Ambulatory Surgical Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.