NPIMap

Individual provider Active NPI

Jordan Freels

  • Physician Assistant
  • New Albany, OH
National Provider Identifier
1801454160
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.005968RX Issued in OH
Practice address
6611 Albany Pond
New Albany, OH 43054-9260
Phone
(330) 224-6644
NPI assigned
Jun 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.005968RX OH Primary

Addresses

Primary practice location

6611 Albany Pond
New Albany, OH 43054-9260

Mailing address

6611 Albany Pond
New Albany, OH 43054-9260
Phone (330) 224-6644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200929003192 OH Practitioner - Physician Assistant 5496174161 Reassigns benefits to 1 organization
I20241216001332 WV Practitioner - Physician Assistant 5496174161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Camden-Clark Physician CorporationGroup PAC ID 5294885661, 345 clinicians

Practice addresses (Care Compare)

800 Ann St
Parkersburg, WV 26101-4623
Phone (304) 865-5530

800 Garfield Ave
Parkersburg, WV 26101-5376
Phone (304) 424-2111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50.005968RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
James H. Aronovitz, DO PLLC Past Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1801454160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6611 ALBANY POND",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430549260",
            "telephone_number": "330-224-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6611 ALBANY POND",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430549260",
            "telephone_number": "330-224-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREELS",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.005968RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, OH

Sources for this page

Verify at the official NPI Registry.