Freeman Clinic LLC

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

Legal business name

FREEMAN CLINIC LLC

Practice address

151 Southpark Rd Ste 101
Lafayette, LA 70508-2900

Phone

(337) 484-1178

Fax

(337) 534-8311

NPI assigned

Dec 23, 2021

Organization subpart

Yes

Parent organization

FREEMAN CLINIC LLCAs reported in NPPES

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

Authorized official

Name

Dr. Mark E Freeman, MD

Title

Owner/ Medical Director

Phone

(337) 484-1178

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Part of

Axxess Medical Solutions

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Narinder Gupta, MD

  • Pain Medicine (Anesthesiology) Physician
  • Terrytown, LA
  • NPI 1306991864
  NPD (past)

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1649930223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SOUTHPARK RD STE 101",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705082900",
            "telephone_number": "337-484-1178",
            "fax_number": "337-534-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 SOUTHPARK RD STE 101",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705082900",
            "telephone_number": "337-484-1178",
            "fax_number": "337-534-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEMAN CLINIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FREEMAN CLINIC LLC",
        "enumeration_date": "2021-12-23",
        "last_updated": "2022-05-04",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/ MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "337-484-1178",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192168",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lafayette",
            "affiliation": "N",
            "endpointDescription": "www.info@axxessmed.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "151 Southpark Rd Ste 101",
            "city": "Lafayette",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705082900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lafayette",
            "affiliation": "N",
            "endpointDescription": "www.info@axxessmed.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "151 Southpark Rd Ste 101",
            "city": "Lafayette",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705082900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Taylor Boulet Frederick
• Terri H Frederick, LMT
• Thomas James Frederick Jr., PT
• Freedom Recovery Center of Acadiana
• Freedom Recovery Center of Acadiana
• Asia Jones Freeman, MSW, LCSW
• Breyan Freeman, LCSW
• Crystal Freeman
• Mark E Freeman, M.D.
• Mary Lucille Freeman, PHD

• Preventive Medicine/Occupational Environmental Medicine Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.