Individual provider Active NPI

Denise A Freeman, DO

  • Family Medicine Physician
  • Downsville, NY
National Provider Identifier
1841298015
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2059631 Issued in NY
Practice address
RT 30 Main Street
Box 327
Downsville, NY 13755
Phone
(607) 363-2517
Fax
(607) 363-7856
NPI assigned
Jul 12, 2005
Last updated
Mar 17, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2059631 NY Primary

Addresses

Primary practice location

RT 30 Main Street
Box 327
Downsville, NY 13755

Mailing address

1 Titus PL
Walton, NY 13856-1457
Phone (607) 865-2400

Other identifiers 1

IdentifierTypeStateIssuer
01865874MedicaidNY

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)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2059631NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catskill Area Hospice and Palliative Care, Inc. Family Medicine PastSince Mar 1, 2019 Accepting new patients
Delaware Valley Hospital, Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268784000000",
    "number": "1841298015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TITUS PL",
            "city": "WALTON",
            "state": "NY",
            "postal_code": "138561457",
            "telephone_number": "607-865-2400",
            "fax_number": "607-865-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RT 30 MAIN STREET",
            "address_2": "BOX 327",
            "city": "DOWNSVILLE",
            "state": "NY",
            "postal_code": "13755",
            "telephone_number": "607-363-2517",
            "fax_number": "607-363-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "DENISE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2010-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "2059631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01865874",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; 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.