Active NPI
David Albert Freel, P.A.-C.
- Surgical Physician Assistant
- Largo, FL
National Provider Identifier
1679739429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA9109520
- Practice address
- 307 Buttonwood LN
Largo, FL 33770-4058 - Phone
- (727) 337-0430
- Fax
- (877) 868-4888
- NPI assigned
- Jul 31, 2008
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | |||
| Surgical Physician Assistant | 363AS0400X | PA9109520 | FL | Primary |
Addresses
Primary practice location
307 Buttonwood LN
Largo, FL 33770-4058
Mailing address
307 Buttonwood LN
Largo, FL 33770-4058
Phone (727) 337-0430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9109520 | FL | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491868800000",
"number": "1679739429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 BUTTONWOOD LN",
"city": "LARGO",
"state": "FL",
"postal_code": "337704058",
"telephone_number": "727-337-0430",
"fax_number": "877-868-4888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 BUTTONWOOD LN",
"city": "LARGO",
"state": "FL",
"postal_code": "337704058",
"telephone_number": "727-337-0430",
"fax_number": "877-868-4888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEL",
"first_name": "DAVID",
"middle_name": "ALBERT",
"credential": "P.A.-C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-31",
"last_updated": "2017-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA9109520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.