Mitch Freeman MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

27545 Issued in AZ

Legal business name

MITCH FREEMAN MD PC

Practice address

2120 W 24TH St
Suite B
Yuma, AZ 85364-6187

Phone

(928) 314-1695

NPI assigned

Oct 16, 2013

Organization subpart

No

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

Authorized official

Name

Mitch FreemanNPI 1164459434

Title

President/Owner

Phone

(928) 314-1695

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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 1

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.

• Mitch Freeman, M.D.

  • Family Medicine Physician
  • Yuma, AZ
  • NPI 1164459434
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1922436625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 W 24TH ST",
            "address_2": "SUITE B",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 W 24TH ST",
            "address_2": "SUITE B",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646187",
            "telephone_number": "928-314-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCH FREEMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "MITCH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "928-314-1695"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "27545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth B Miller, M.D.
• Talisha C Mills, PHD, MSW
• Cassandra O Miranda, MSN, APRN, PMHNP-BC
• Marco Antonio Miranda II
• Miriam Espinoza PLLC
• Mitali Sathi Mitra, MD
• Vasundhara Modi
• John Scott Moffett, P.A.
• Lauren Michelle Mohamed, DNP
• Rochelle Lynn Mohamed, FNP

• Family Medicine Physician in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.