Shaena Freeman, MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SHAENA FREEMAN, MD PLLC

Practice address

1061 Washington Ave
Holland, MI 49423-5216

Phone

(616) 393-8100

Fax

(877) 451-0226

NPI assigned

Aug 2, 2021

Organization subpart

No

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

Authorized official

Name

Diane C Eddington

Title

Office MGR

Phone

(616) 393-8100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Macatawa Family Medicine, PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Shaena Freeman, MD

  • Family Medicine Physician
  • Holland, MI
  • NPI 1023490943
  Medicare reassignment NPD
• Brenda L Schloff, M.D.

  • Family Medicine Physician
  • Allegan, MI
  • NPI 1295733061
  NPD
• John Elton Schloff, M.D

  • Family Medicine Physician
  • Venice, FL
  • NPI 1124026992
  NPD
• Karen Sue Slagh, RN

  • Registered Nurse
  • Holland, MI
  • NPI 1588585160
  NPD (past)

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1760156046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 WASHINGTON AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494235216",
            "telephone_number": "616-393-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 WASHINGTON AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494235216",
            "telephone_number": "616-393-8100",
            "fax_number": "877-451-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAENA FREEMAN, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-02",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "EDDINGTON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "616-393-8100"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "900149064",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Macatawa Family Medicine, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Macatawa Family Medicine, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caitlyn Seppo, D.C.
• Jeffrey Serdahely, DO
• Marissa Anabel Serrano
• Nelson Serrano
• Felicia Lynn Shabazz, LMSW
• Priscilla Shafor, CPRM
• Kruti Shah, DDS
• Richard Shangle
• Shanna Housman LLC
• Shannon Connell, PH.D., LLC

• Family Medicine Physician in Holland, MI
• Providers in Holland, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.