Active NPI
Steven W Freestone, MD
- Anatomic Pathology & Clinical Pathology Physician
- Orem, UT
National Provider Identifier
1982827895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 1644641205
- Practice address
- 945 S Orem Blvd
Orem, UT 84058-5011 - Phone
- (801) 225-5407
- Fax
- (801) 225-5623
- NPI assigned
- Apr 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | 1644641205 | UT | |
| Cytopathology Physician | 207ZC0500X | 1644641205 | UT | |
| Dermatopathology (Pathology) Physician | 207ZD0900X | 1644641205 | UT | |
| Hematology (Pathology) Physician | 207ZH0000X | 1644641205 | UT | |
| Neuropathology Physician | 207ZN0500X | 1644641205 | UT | |
| Molecular Genetic Pathology (Pathology) Physician | 207ZP0007X | 1644641205 | UT | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 1644641205 | UT | Primary |
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 1644641205 | UT | |
| Pediatric Pathology Physician | 207ZP0213X | 1644641205 | UT |
Addresses
Primary practice location
945 S Orem Blvd
Orem, UT 84058-5011
Mailing address
PO Box 1442
Provo, UT 84603-1442
Phone (801) 225-5407
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1644641205 | UT | MD | Cytopathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213056000000",
"number": "1982827895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1442",
"city": "PROVO",
"state": "UT",
"postal_code": "846031442",
"telephone_number": "801-225-5407",
"fax_number": "801-225-5623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 S OREM BLVD",
"city": "OREM",
"state": "UT",
"postal_code": "840585011",
"telephone_number": "801-225-5407",
"fax_number": "801-225-5623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREESTONE",
"first_name": "STEVEN",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2008-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207ZB0001X",
"taxonomy_group": "",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": "UT",
"license": "1644641205",
"primary": false
},
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "UT",
"license": "1644641205",
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "UT",
"license": "1644641205",
"primary": false
},
{
"code": "207ZH0000X",
"taxonomy_group": "",
"desc": "Pathology, Hematology",
"state": "UT",
"license": "1644641205",
"primary": false
},
{
"code": "207ZN0500X",
"taxonomy_group": "",
"desc": "Pathology, Neuropathology",
"state": "UT",
"license": "1644641205",
"primary": false
},
{
"code": "207ZP0007X",
"taxonomy_group": "",
"desc": "Pathology, Molecular Genetic Pathology",
"state": "UT",
"license": "1644641205",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "UT",
"license": "1644641205",
"primary": true
},
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "UT",
"license": "1644641205",
"primary": false
},
{
"code": "207ZP0213X",
"taxonomy_group": "",
"desc": "Pathology, Pediatric Pathology",
"state": "UT",
"license": "1644641205",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.