TIMOTHY J FREEMAN MD NPI 1417997958

NPI Information

NPI: 1417997958
Provider Name: TIMOTHY J FREEMAN, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
2845 GREENBRIER RD STE 310
GREEN BAY, WI
ZIP 54311
Phone: (920) 288-8300
Get Directions

Timothy J Freeman, MD is a cardiovascular disease internal medicine in Green Bay, WI. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Timothy J Freeman, MD NPI is 1417997958. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2845 GREENBRIER RD STE 310
GREEN BAY, WI
ZIP 54311-519
Phone: (920) 288-8300
Fax: (920) 288-8305

The enumeration date for this NPI number is 6/6/2006 and was last updated on 10/26/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	23051-20	WISCONSIN	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0005 07265	MEDICARE ID-TYPE UNSPECIFIED	WISCONSIN	MEDICARE PROVIDER #
2	076500307	MEDICARE PIN	WISCONSIN
3	30383200	MEDICAID	WISCONSIN
4	B52897	MEDICARE UPIN

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: 4/28/2024

NPI Synchronization or Removal

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