DR. MARC FREEMAN NPI 1649229436

NPI Information

NPI: 1649229436
Provider Name: DR. MARC FREEMAN
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
1800 BARRS ST
DEPARTMENT OF RADIOLOGY
JACKSONVILLE, FL
ZIP 32204
Phone: (904) 388-1562
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DR. Marc Freeman is a diagnostic radiology radiology in Jacksonville, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Marc Freeman NPI is 1649229436. 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:

1800 BARRS ST
DEPARTMENT OF RADIOLOGY
JACKSONVILLE, FL
ZIP 32204-704
Phone: (904) 388-1562
Fax: (904) 388-1841

The enumeration date for this NPI number is 5/9/2006 and was last updated on 9/8/2015.

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	2085R0202X	Radiology	Diagnostic Radiology	ME0020294	FLORIDA	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	035852500	MEDICAID	FLORIDA
2	300017433	OTHER	FLORIDA	RR MEDICARE
3	68032	OTHER	FLORIDA	BC BS
4	68032Y	MEDICARE PIN	FLORIDA
5	D57758	MEDICARE UPIN
6	000198547A	MEDICAID	GEORGIA

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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