Organization Active NPI

Lashawn D Freeman, DPM SC

  • Foot & Ankle Surgery Podiatrist
  • Griffith, IN
National Provider Identifier
1700139243
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
07001023A Issued in IN
Legal business name
LASHAWN D FREEMAN, DPM SC
Practice address
1212 N Broad St
Griffith, IN 46319-1534
Phone
(219) 972-9000
Fax
(219) 838-4521
NPI assigned
Oct 22, 2012
Last updated
Oct 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 07001023A IN Primary

Addresses

Primary practice location

1212 N Broad St
Griffith, IN 46319-1534

Mailing address

1212 N Broad St
Griffith, IN 46319-1534
Phone (219) 972-9000

Other identifiers 1

IdentifierTypeStateIssuer
200901880AMedicaidIN

National Provider Directory

National Provider Directory

Locations

487 Broadway
Ste 207
Gary, IN 46402
Phone (219) 880-0850

8710 Broadway
Merrillville, IN 46410
Phone (219) 882-2000

3152 Lancer St
Portage, IN 46368
Phone (218) 882-2000

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1700139243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 N BROAD ST",
            "city": "GRIFFITH",
            "state": "IN",
            "postal_code": "463191534",
            "telephone_number": "219-972-9000",
            "fax_number": "219-838-4521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 N BROAD ST",
            "city": "GRIFFITH",
            "state": "IN",
            "postal_code": "463191534",
            "telephone_number": "219-972-9000",
            "fax_number": "219-838-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASHAWN D FREEMAN, DPM SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "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": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200901880A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffith, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.