Mary C Freesh, DO
Individual provider Active NPI Family Medicine Physician · Ivins, UT
NPI 1700031473 · NPPES record last updated Nov 22, 2008
Key facts
- NPI
- 1700031473
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 1730821204 (UT)
- Practice address
- 272 E Center St
Suite 201
Ivins, UT 84738-6456 - Phone
- (435) 986-2300
- NPI assigned
- Nov 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1730821204 | UT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky Vista Health Center LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/8078/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1730821204 | UT | Yes |
Addresses
Primary practice location
272 E Center St
Suite 201
Ivins, UT 84738-6456
Mailing address
272 E Center St
Suite 201
Ivins, UT 84738-6456
Phone (435) 986-2300
Other names
- Mary F Jones
Other providers in Ivins, UT
- Mark James Dewey
- Jimmy DO
- Emily Eischen Martin
- Excelserv PLLC
- Vaibhav Farkiwala
- Trevor Bryce Frehner
- Kendyl Gee
- Lance M. Hall
- Analee Hallman
- Jefferey Michael Hanson
All providers in Ivins, UT · Family Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.