Organization Active NPI

Michael E Freshman,MD,PC

  • Ophthalmology Physician
  • Troy, NY
National Provider Identifier
1861599037
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
239161 Issued in NY
Legal business name
MICHAEL E FRESHMAN,MD,PC
Practice address
1444 Massachusetts Ave
Suite 104
Troy, NY 12180-1600
Phone
(518) 274-5551
Fax
(518) 274-2060
NPI assigned
Sep 20, 2006
Last updated
Oct 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Authorized official

Name
Dr. Michael E Freshman, M.D.NPI 1427005974
Title
Owner
Phone
(518) 274-5551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 239161 NY Primary

Addresses

Primary practice location

1444 Massachusetts Ave
Suite 104
Troy, NY 12180-1600

Mailing address

1444 Massachusetts Ave
Suite 104
Troy, NY 12180-1600
Phone (518) 274-5551

Other identifiers 1

IdentifierTypeStateIssuer
181002396OtherNYRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1861599037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 MASSACHUSETTS AVE",
            "address_2": "SUITE 104",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121801600",
            "telephone_number": "518-274-5551",
            "fax_number": "518-274-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 MASSACHUSETTS AVE",
            "address_2": "SUITE 104",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121801600",
            "telephone_number": "518-274-5551",
            "fax_number": "518-274-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E FRESHMAN,MD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "FRESHMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-274-5551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "239161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "181002396",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.