Marcus Kyle Free, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

LO799 Issued in TX

Practice address

2143 Derfla Dr
Saint Joseph, MI 49085-9661

Phone

(888) 550-5154

Fax

(888) 414-4545

NPI assigned

Jul 16, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Ascension Borgess Lee Hospital

  • Critical Access Hospital
  • Dowagiac, MI
  • NPI 1194771030
  NPD (past)

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572134400000",
    "number": "1790949097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2143 DERFLA DR",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859661",
            "telephone_number": "810-404-2521",
            "fax_number": "888-414-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2143 DERFLA DR",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859661",
            "telephone_number": "888-550-5154",
            "fax_number": "888-414-4545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4640 Fm 1948 Rd N",
            "address_purpose": "LOCATION",
            "city": "Burton",
            "state": "TX",
            "postal_code": "778355973",
            "country_code": "US",
            "telephone_number": "888-550-5154",
            "fax_number": "888-414-4545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREE",
        "first_name": "MARCUS",
        "middle_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-16",
        "last_updated": "2019-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301093347",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "L0799",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301093347",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "LO799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105431333",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Felicia D. Flowers, PROFESSIONAL COUNSEL
• Dan Lee Fortenbacher, O.D.
• Jenifer Joye Fox, MA, CCC-SLP
• Nicholas McHenry Frazier, D.O.
• Frederick W. Born
• Freedom Counseling Center Inc
• Stephanie Freels, M.D.
• Fred Henry Frese
• Fresh Perspective Home Care 2 LLC (Fresh Perspective Home Care)
• Richard W. Frieden, M.D.

• General Practice Physician in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.