Organization Active NPI

Freedom Neurology LLC

  • Neurology Physician
  • Scottsdale, AZ
National Provider Identifier
1740004357
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
FREEDOM NEUROLOGY LLC
Practice address
17500 N Perimeter Dr # 105
Scottsdale, AZ 85255-7800
Phone
(480) 535-6300
NPI assigned
Nov 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Authorized official

Name
Diana Sheehan
Title
Authorized Official
Phone
(480) 535-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

17500 N Perimeter Dr # 105
Scottsdale, AZ 85255-7800

Mailing address

17500 N Perimeter Dr # 105
Scottsdale, AZ 85255-7800
Phone (480) 535-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250415000293 AZ Part B Supplier - Clinic/Group Practice 6103341904 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

17500 N Perimeter Dr
Scottsdale, AZ 85255
Phone (480) 535-6300

17500 N Perimeter Dr
#105
Scottsdale, AZ 85255
Phone (480) 535-6300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1740004357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17500 N PERIMETER DR # 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557800",
            "telephone_number": "480-535-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17500 N PERIMETER DR # 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557800",
            "telephone_number": "480-535-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM NEUROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "SHEEHAN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "480-535-6300"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.