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PEDIATRIC ASSOCIATES OF AUBURN NPI 1316099203


NPI Information

NPI: 1316099203
Provider Name: PEDIATRIC ASSOCIATES OF AUBURN

Former Legal Business Name: RICHARD M. FREEMAN, MD, PC

Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 01D0306320

Address:
2901 CORPORATE PARK DR
OPELIKA, AL
ZIP 36801
Phone: (334) 203-1766
Get Directions

PEDIATRIC ASSOCIATES OF AUBURN is an adolescent medicine pediatrics in Opelika, AL. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. PEDIATRIC ASSOCIATES OF AUBURN NPI is 1316099203. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Richard M. Freeman, Md, Pc.

The provider's business location address is:

2901 CORPORATE PARK DR
OPELIKA, AL
ZIP 36801-283
Phone: (334) 203-1766
Fax: (334) 203-1784

The provider's authorized official is Dianne Martinez Carlton .
The authorized official title is Office Manager and has the following contact phone number (334) 203-1766.

The CLIA number assigned to this NPI record is 01D0306320 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 7/12/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080A0000XPediatricsAdolescent Medicine5738ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000002165MEDICAIDALABAMA
251044755OTHERALABAMABCBS ELLEN L. ROYAL, M.D.
351002165OTHERALABAMABCBS RICHARD M. FREEMAN,
4528201420MEDICAIDALABAMA
5000044755MEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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