Active NPI
Paul C. Freiman, MD
- Interventional Cardiology Physician
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- R1I03
- Practice address
- 2115 S Fremont Ave
Suite 4300
Springfield, MO 65804-2239 - Phone
- (417) 820-3911
- Fax
- (417) 820-3924
- NPI assigned
- Oct 11, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | R1I03 | MO | |
| Interventional Cardiology Physician | 207RI0011X | R1I03 | MO | Primary |
Addresses
Primary practice location
2115 S Fremont Ave
Suite 4300
Springfield, MO 65804-2239
Mailing address
2115 S Fremont Ave
Suite 4300
Springfield, MO 65804
Phone (417) 820-3911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202530630 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
500 Porter Ave
#A
Aurora, MO 65605
Phone (417) 678-3507
500 Porter Ave
Aurora, MO 65605
Phone (417) 678-2122
290 Clift Ct
#H
Hollister, MO 65672
Phone (417) 336-4355
100 Hospital Dr
Lebanon, MO 65536
Phone (417) 533-6010
3050 E River Bluff Blvd
Ozark, MO 65721
Phone (417) 820-5610
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379
Interoperability endpoints
- pfreiman884@directb.mercy.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
- Family Medicine Physician
- Hollister, MO
- NPI 1053350454
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499212800000",
"number": "1669561643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2115 S FREMONT AVE",
"address_2": "SUITE 4300",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "65804",
"telephone_number": "417-820-3911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 S FREMONT AVE",
"address_2": "SUITE 4300",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658042239",
"telephone_number": "417-820-3911",
"fax_number": "417-820-3924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREIMAN",
"first_name": "PAUL",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2017-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MO",
"license": "R1I03",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "MO",
"license": "R1I03",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202530630",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.