NPIMap

Individual provider Active NPI

Frederick E Freeman, MD

  • Otolaryngology Physician
  • Hardeeville, SC
National Provider Identifier
1720054646
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
36474 Issued in SC
Practice address
1010 Medical Center Dr
Suite 210
Hardeeville, SC 29927-3447
Phone
(843) 784-8297
Fax
(843) 784-7998
NPI assigned
Feb 28, 2006
Last updated
Oct 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X ME40530 FL
Otolaryngology Physician 207Y00000X 36474 SC Primary

Addresses

Primary practice location

1010 Medical Center Dr
Suite 210
Hardeeville, SC 29927-3447

Mailing address

1010 Medical Center Dr
Suite 210
Hardeeville, SC 29927-3447
Phone (843) 784-8297

Other identifiers 3

IdentifierTypeStateIssuer
043013700MedicaidFL
040014886OtherRAIL ROAD MEDICARE
364741MedicaidSC

Other names 1

  • Frederick E Freedman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, WY, NE, SD, AK5 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20140324000372 SC Practitioner - Otolaryngology 5698784429 Reassigns benefits to 1 organization
I20161117002079 WY Practitioner - Otolaryngology 5698784429 Reassigns benefits to 3 organizations
I20200227002178 NE Practitioner - Otolaryngology 5698784429 Reassigns benefits to 2 organizations
I20221102001182 SD Practitioner - Otolaryngology 5698784429 Reassigns benefits to 2 organizations
I20260525000509 AK Practitioner - Otolaryngology 5698784429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Miami, LM Miller School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ivinson Memorial HospitalGroup PAC ID 8325304447, 61 clinicians

Practice addresses (Care Compare)

255 N 30TH St
Laramie, WY 82072-5140
Phone (307) 742-2142

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36474SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cherry County Hospital Current Accepting new patients
Ivinson Memorial Hospital CurrentSince Mar 1, 2024 Accepting new patients
Cherry County Hospital Current Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Jul 1, 2024 Accepting new patients
Memorial Hospital of Converse County Current Accepting new patients
Memorial Hospital of Converse County CurrentSince Jul 1, 2018 Accepting new patients
Ivinson Memorial Hospital CurrentSince Mar 1, 2024 Accepting new patients
Winner Regional Healthcare Center CurrentSince Jul 5, 2022 Accepting new patients
Cherry County Hospital CurrentSince Feb 1, 2020 Accepting new patients
Winner Regional Healthcare Center Current Accepting new patients
Winner Regional Healthcare Center CurrentSince Jul 5, 2022 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Jul 1, 2024 Accepting new patients
Aeve, PA Past Accepting new patients
Abilene Advanced Eyecare Inc. PastSince Dec 1, 2003 Accepting new patients
Osler Medical Inc Past Accepting new patients

Locations

510 N Green St
Valentine, NE 69201
Phone (402) 376-3770

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

745 E 8th St
Winner, SD 57580
Phone (605) 842-2626

111 S 5th St
Douglas, WY 82633
Phone (307) 358-6200

700 E Center St
Douglas, WY 82633
Phone (307) 358-7300

255 N 30th St
Laramie, WY 82072
Phone (307) 742-2141

3116 Willett Dr
Laramie, WY 82072
Phone (307) 742-6319

Interoperability endpoints

  • Direct secure messaging: frederick.freeman.p93@direct.tenet.nextgenshare.com

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1720054646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 MEDICAL CENTER DR",
            "address_2": "SUITE 210",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299273447",
            "telephone_number": "843-784-8297",
            "fax_number": "843-784-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 MEDICAL CENTER DR",
            "address_2": "SUITE 210",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299273447",
            "telephone_number": "843-784-8297",
            "fax_number": "843-784-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "FREDERICK",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME40530",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "SC",
            "license": "36474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043013700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "040014886",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "364741",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FREDERICK",
            "last_name": "FREEDMAN",
            "middle_name": "E",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hardeeville, SC

Sources for this page

Verify at the official NPI Registry.