Rick D Freitag, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

21250-020 Issued in WI

Practice address

2750N Thayer Rd
Birchwood, WI 54817

Phone

(715) 354-3961

NPI assigned

Jun 6, 2008

Last updated

Sep 20, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1578722385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750N THAYER RD",
            "city": "BIRCHWOOD",
            "state": "WI",
            "postal_code": "54817",
            "telephone_number": "715-354-3961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750N THAYER RD",
            "city": "BIRCHWOOD",
            "state": "WI",
            "postal_code": "54817",
            "telephone_number": "715-354-3961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREITAG",
        "first_name": "RICK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-06",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "21250-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Birchwood Family Medicine, LLC
• Birchwood Four Corners Emergency Services District (Birchwood Ambulance Service)
• Birchwood Four Corners Emergency Services District (Birchwood Ambulance Service)
• Kristen Marjorie Dall-Winther, MD, FAAFP
• Leann Ellingson
• Roberta A Freitag, R.PH., CGP
• Andrew Higley
• John M Kane, DDS
• Kathryn Langevin, DMD
• School District of Birchwood

• Diagnostic Radiology Physician in Birchwood, WI
• Providers in Birchwood, WI by specialty
• Diagnostic Radiology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.