Individual provider Active NPI

Timothy Scot Freeman, M.D.

  • Pediatrics Physician
  • Kettering, OH
National Provider Identifier
1538456801
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35.121306 Issued in OH
Practice address
1775 Delco Park Dr
Kettering, OH 45420-1398
Phone
(937) 299-2339
NPI assigned
Jul 7, 2011
Last updated
Mar 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35.121306 OH Primary

Addresses

Primary practice location

1775 Delco Park Dr
Kettering, OH 45420-1398

Mailing address

2521 E Dorothy LN
Kettering, OH 45420-1117
Phone (937) 672-4648

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.121306OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Pediatrics, Inc. Pediatrics CurrentSince Mar 5, 2023 Accepting new patients
Ohio Pediatrics, Inc. Pediatrics PastSince Mar 5, 2023 Accepting new patients

Locations

1775 Delco Park Dr
Kettering, OH 45420
Phone (937) 299-2339

Interoperability endpoints

  • Direct secure messaging: timothy.freeman@ohpi.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1538456801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 E DOROTHY LN",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201117",
            "telephone_number": "937-672-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 DELCO PARK DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201398",
            "telephone_number": "937-299-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "TIMOTHY",
        "middle_name": "SCOT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-07",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.121306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.