Active NPI
Michael David Freedman I, M.D.,F.A.C.P.,F.C.P.
- Health Educator
- Owings Mills, MD
National Provider Identifier
1750625968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- D0043798
- Practice address
- 4730 Wainwright Cir
Owings Mills, MD 21117-5832 - Phone
- (410) 363-3355
- NPI assigned
- Nov 15, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | D0043798 | MD | Primary |
| Clinical Pharmacology Physician | 208U00000X | D0043798 | MD |
Addresses
Primary practice location
4730 Wainwright Cir
Owings Mills, MD 21117-5832
Mailing address
4730 Wainwright Cir
Owings Mills, MD 21117-5832
Phone (410) 363-3355
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0043798 | MD | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352937600000",
"number": "1750625968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4730 WAINWRIGHT CIR",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211175832",
"telephone_number": "410-363-3355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4730 WAINWRIGHT CIR",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211175832",
"telephone_number": "410-363-3355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEDMAN",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"name_suffix": "I",
"credential": "M.D.,F.A.C.P.,F.C.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-15",
"last_updated": "2012-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "MD",
"license": "D0043798",
"primary": true
},
{
"code": "208U00000X",
"taxonomy_group": "",
"desc": "Clinical Pharmacology",
"state": "MD",
"license": "D0043798",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owings Mills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.