Active NPI
Daniel Ryan Freshour, P.A.
- Physician Assistant
- Williamsport, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA03259
- Practice address
- 1824 E 3Rd St
Williamsport, PA 17701-3914 - Phone
- (570) 601-2200
- Fax
- (570) 601-2202
- NPI assigned
- Aug 12, 2006
- Last updated
- Aug 31, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA03259 | TX | Primary |
Addresses
Primary practice location
1824 E 3Rd St
Williamsport, PA 17701-3914
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dfreshour164986@direct.geisinger.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10 Choate Cir
Montoursville, PA 17754-9791
Phone (570) 368-5566
100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144
1824 E 3Rd St
Williamsport, PA 17701-3914
Phone (570) 601-2200
240 Mall Blvd
Bloomsburg, PA 17815-8389
Phone (570) 416-5435
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA03259 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger-HM Joint Venture LLC | Current | Accepting new patients | |
| Jamison Professional Counseling Center Inc | Past | Accepting new patients | |
| Department of State Health Services | Past | Accepting new patients | |
| Geisinger Clinic GYN Onc | Physician Assistant | Past | Accepting new patients |
| Geisinger Clinic | Past | Accepting new patients | |
| Geisinger Clinic | Physician Assistant | Past | Accepting new patients |
| HHM LLC | Past | Accepting new patients |
Locations
226 Buckaroo Ln
Bellefonte, PA 16823
Phone (814) 353-1030
425 E 1st St
Bloomsburg, PA 17815
Phone (570) 387-2474
100 N Academy Ave
Danville, PA 17822
560 Pierce St
Kingston, PA 18704
Phone (570) 283-2161
10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566
780 Broad St
Ste 4
Montoursville, PA 17754
Phone (570) 368-2870
529 Terry Reiley Way
Pottsville, PA 17901
Phone (570) 624-4120
529 Terry Reiley Way
Ste 101
Pottsville, PA 17901
Phone (570) 624-4444
1824 E 3rd St
Williamsport, PA 17701
Phone (570) 322-4422
Interoperability endpoints
- dfreshour164986@direct.geisinger.edu
Organizations & group practices 11
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.
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
dba Geisinger Medical Clinic Lock Haven
- Family Medicine Physician
- Lock Haven, PA
- NPI 1144876137
-
- Pediatrics Physician
- Mountain Top, PA
- NPI 1538445218
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- Internal Medicine Physician
- Muncy, PA
- NPI 1952076119
-
- Hospitalist Physician
- Wilkes Barre, PA
- NPI 1588614358
-
dba Texas Center for Infectious Disease
- Clinic/Center
- San Antonio, TX
- NPI 1316000144
-
- Clinical Social Worker
- Fredericksburg, TX
- NPI 1104994284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598832000000",
"number": "1558373571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N ACADEMY AVE",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178224903",
"telephone_number": "570-271-6144",
"fax_number": "570-271-6578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1824 E 3RD ST",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177013914",
"telephone_number": "570-601-2200",
"fax_number": "570-601-2202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRESHOUR",
"first_name": "DANIEL",
"middle_name": "RYAN",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2020-08-31",
"certification_date": "2020-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA03259",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dfreshour164986@direct.geisinger.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1824 E 3rd St",
"city": "Williamsport",
"state": "PA",
"country_code": "US",
"postal_code": "177013914",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Williamsport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.