Individual provider Active NPI

Allison Freeman, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Frederick, MD
National Provider Identifier
1750810875
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0006505 Issued in MD
Practice address
501 W 7TH St
Frederick, MD 21701
Phone
(301) 698-8374
NPI assigned
Jun 12, 2017
Last updated
Jun 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X C0006505 MD Primary

Addresses

Primary practice location

501 W 7TH St
Frederick, MD 21701

Mailing address

PO Box 37086
Baltimore, MD 21297-3086
Phone (240) 439-8913

Other practice location 1

13620 Crayton Boulevard
Hagerstown, MD 21742
Phone (240) 313-9890

Other practice location 2

13620 Crayton Boulevard
Hagerstown, MD 21742
Phone (240) 313-9890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171213000064 MD Practitioner - Physician Assistant 1759657653 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

11110 Medical Campus Rd
Hagerstown, MD 21742-6727

13620 Crayton Blvd
Hagerstown, MD 21742-2335
Phone (240) 313-9890

3 Byrkit Dr
Williamsport, MD 21795-1158
Phone (301) 582-1150

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Practices of Antietam LLC CurrentSince Nov 6, 2017 Accepting new patients
Medical Practices of Antietam LLC CurrentSince Nov 6, 2017 Accepting new patients
Meritus Urgent Care LLC CurrentSince Jan 14, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Meritus Medical Laboratory LLC Past Accepting new patients

Locations

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

13620 Crayton Blvd
Hagerstown, MD 21742
Phone (240) 313-3100

13620 Crayton Blvd
Ste B
Hagerstown, MD 21742
Phone (240) 313-9890

3 Byrkit Dr
Williamsport, MD 21795
Phone (301) 582-1150

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1750810875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37086",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973086",
            "telephone_number": "240-439-8913",
            "fax_number": "240-439-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W 7TH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21701",
            "telephone_number": "301-698-8374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13620 Crayton Boulevard",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "21742",
            "country_code": "US",
            "telephone_number": "240-313-9890",
            "fax_number": "240-313-9891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13620 Crayton Boulevard",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "21742",
            "country_code": "US",
            "telephone_number": "240-313-9890",
            "fax_number": "240-313-9891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "ALLISON",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0006505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.