Organization Active NPI

Rees G. Freeman, M.D., P.C.

  • Neurological Surgery Physician
  • Roseburg, OR
National Provider Identifier
1598887796
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD13996 Issued in OR
Legal business name
REES G. FREEMAN, M.D., P.C.
Doing business as
Northwest Neurosurgery
Practice address
1813 W Harvard Ave
Suite #330
Roseburg, OR 97470-2752
Phone
(541) 464-4640
Fax
(541) 464-4641
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Mrs. Nicole Autumn Freeman, R.N.
Title
Business Manager
Phone
(541) 464-4640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X MD13996 OR Primary

Addresses

Primary practice location

1813 W Harvard Ave
Suite #330
Roseburg, OR 97470-2752

Mailing address

1813 W Harvard Ave
Suite #330
Roseburg, OR 97470-2752
Phone (541) 464-4640

Other identifiers 1

IdentifierTypeStateIssuer
220632MedicaidOR

Other names 1

  • Northwest Neurosurgery Doing business as

National Provider Directory

National Provider Directory

Locations

1813 W Harvard Ave
Ste 330
Roseburg, OR 97471
Phone (541) 464-4640

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1598887796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 W HARVARD AVE",
            "address_2": "SUITE #330",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974702752",
            "telephone_number": "541-464-4640",
            "fax_number": "541-464-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 W HARVARD AVE",
            "address_2": "SUITE #330",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974702752",
            "telephone_number": "541-464-4640",
            "fax_number": "541-464-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REES G. FREEMAN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "AUTUMN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "541-464-4640",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "OR",
            "license": "MD13996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220632",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Neurosurgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.