Lashawn D Freeman DPM SC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

07001023A Issued in IN

Legal business name

LASHAWN D FREEMAN DPM SC

Practice address

650 Grant St
#4
Gary, IN 46404-1533

Phone

(219) 882-2000

Fax

(219) 882-2044

NPI assigned

Oct 28, 2008

Last updated

Oct 11, 2012By 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

Lashawn D Freeman, DPMNPI 1386685139

Title

Owner

Phone

(219) 882-2000

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Lashawn D Freeman DPM SC

  • Podiatrist
  • Chicago, IL
  • NPI 1972692135

  O20070424000625

  Same enrollment

Locations

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.

• Lashawn Freeman, DPM

  • Podiatrist
  • Gary, IN
  • NPI 1386685139
  NPD Authorized official

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1609029214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19468",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606190468",
            "telephone_number": "219-882-2000",
            "fax_number": "219-881-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 GRANT ST",
            "address_2": "#4",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464041533",
            "telephone_number": "219-882-2000",
            "fax_number": "219-882-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASHAWN D FREEMAN DPM SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "LASHAWN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-882-2000",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07001023A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DD6800",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200901880A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lake County Walker Medical
• Lake Ridge Fire Protection District (Lake Ridge Emergency Medical Services)
• Lake Ridge Schools
• Lakeshore Community Outreach Incorporation
• Lakeshore Psychiatry & Wellness
• Mechelle Latiker
• Carlos A Laurie, MSMFT
• Oluseye Lawal
• Lawrence G. Ruffin (Selah Academy, Incorporated)
• Renee Lynn Lax, N.P.

• Foot & Ankle Surgery Podiatrist in Gary, IN
• Providers in Gary, IN by specialty
• Foot & Ankle Surgery Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.