Hey, Find It
Hey, Find NPI

MARK J FREEMAN MD, NPI 1801898929

Family Medicine in CLEARLAKE, CA

Last Updated on : Apr 17,2009

About MARK J FREEMAN (NPI 1801898929)


MARK J FREEMAN is a Family Medicine provider in CLEARLAKE, United States. His medical specialization is Family Medicine .

1801898929 is NPI number of MARK J FREEMAN.

MARK J FREEMAN's primary taxonomy code based on NPI Lookup is 207Q00000X with license number G47688. This taxonomy code refers to Family Medicine.

MARK J FREEMAN has more than 16 years of experience.

MARK J FREEMAN current practice location address is 15322 LAKESHORE DR, CLEARLAKE, CA. MARK J FREEMAN can be reached out via phone at 707-995-1362 and via fax at 707-995-7057 .

You can also correspond with MARK J FREEMAN through mail at mailing address 15322 LAKESHORE DR, CLEARLAKE, CA, United States. Mailing address contact number is 707-995-1362.

The enumeration date of MARK J FREEMAN is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 13 years ago.

1801898929 NPI Information

Name MARK J FREEMAN
National Provider Id (NPI) 1801898929
Entity Type Individual
Gender M
Credential MD
Practice Address 15322 LAKESHORE DR, STE 101
CLEARLAKE, CA, United States
Practice Telephone 707-995-1362
Practice Fax Number 707-995-7057
Mailing Address 15322 LAKESHORE DR , STE 101
CLEARLAKE, CA, United States
Mailing Telephone 707-995-1362
Mailing Fax Number 707-995-7057
Enumeration Date 01-Jun-2005
Last Updated Date 17-Apr-2009

MARK J FREEMAN (NPI 1801898929) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 207Q00000X Family Medicine G47688 CA

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
00G476880 MEDICAID (05) CA
00G476882 MEDICARE ID-Type Unspecified (04) CA
080150278 Other (non-Medicare) (01) MEDICARE RAILROAD #
A50776 MEDICARE UPIN (02) CA
BF953Z MEDICARE PIN (08) CA
P00660683 Other (non-Medicare) (01) CA Medicare Railroad #

MARK J FREEMAN (NPI 1801898929) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1093872095 MICHAEL HODSON STREET Social Worker, Clinical 6302 13TH AVE,
LUCERNE, CA, United States
02-Jan-2007
1093866998 KARIN FRANZISKA HUDSON Psychologist 7000B S CENTER DR,
CLEARLAKE, CA, United States
16-Jan-2007
1770056608 SCOTT LAMAR SULLIVAN Counselor, Addiction (Substance Use Disorder) PO BOX 1024,
LUCERNE, CA, United States
03-Jan-2019
1760539407 SHIRIN ROBERTS Counselor, Mental Health P.O. BOX 234,
CLEARLAKE OAKS, CA, United States
04-Jan-2007
1265193551 SIMRANJIT KAUR GREWAL Pharmacist PO BOX 400,
WILLIAMS, CA, United States
07-Jan-2022
1912547886 DANIEL CUMMINS-RUSSELL Behavior Technician 3440 7TH ST,
CLEARLAKE, CA, United States
08-Jan-2020
1942486642 ADVENTIST HEALTH CLEARLAKE HOSPITAL, INC-KELSEYVILLE FAMILY HEALTH CEN Clinic/Center, Rural Health PO BOX 6710,
CLEARLAKE, CA, United States
14-Jan-2008
1124204821 ADVENTIST HEALTH CLEARLAKE HOSPITAL, INC-MIDDLETOWN FAMILY HEALTH CENT Clinic/Center, Rural Health PO BOX 6710,
CLEARLAKE, CA, United States
14-Jan-2008
1841476447 ADVENTIST HEALTH CLEARLAKE HOSPITAL, INC-CLEARLAKE FAMILY HEALTH CENTE Clinic/Center, Rural Health PO BOX 6710,
CLEARLAKE, CA, United States
14-Jan-2008
1609416437 JUNIROSE THOM Behavior Analyst 4456 MANZANITA AVENUE SUITE 2,
CLEARLAKE, CA, United States
09-Jan-2020
1487958104 ALLISON L HILLIX Counselor, Mental Health 7000B S CENTER DR,
CLEARLAKE, CA, United States
10-Jan-2011
1174096234 KAITLYN AHRBECK Behavior Technician 2980 SMITH LN,
CLEARLAKE, CA, United States
10-Jan-2019
1336290485 MICHAEL ANDRADE Counselor, Addiction (Substance Use Disorder) PO BOX 1560,
CLEARLAKE, CA, United States
16-Jan-2007
1669619714 ELLEN ANN BOURNE Counselor, Mental Health 7000 S CENTER DR, B
CLEARLAKE, CA, United States
12-Jan-2009
1063782670 BRANDY COLEEN BORG Case Manager/Care Coordinator 7000 S CENTER DR # B,
CLEARLAKE, CA, United States
12-Jan-2012
1811048911 NADYA FRIEDMAN Psychiatry & Neurology, Psychiatry 15230 LAKESHORE DR,
CLEARLAKE, CA, United States
15-Jan-2007
1699315895 ANA MARGARITA SANTANA Case Manager/Care Coordinator 1152 S MAIN ST,
LAKEPORT, CA, United States
15-Jan-2020
1700322690 SUSAN SALMINA Registered Nurse 15230 LAKESHORE DR,
CLEARLAKE, CA, United States
16-Jan-2017
1295715712 JACK M ELIZARES Optometrist 3610 OLD HIGHWAY 53,
CLEARLAKE, CA, United States
19-Jan-2006
1245535335 LEANNE COLLEEN OSTERN Licensed Vocational Nurse PO BOX 253,
LUCERNE, CA, United States
20-Jan-2011

FAQs

Whose NPI Number is 1801898929?

1801898929 is the NPI number of MARK J FREEMAN.

What is the specialty for MARK J FREEMAN?

The Specialty of MARK J FREEMAN is Family Medicine.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Source : The information found on this website is provided "AS IS". It is in accordance with the NPPES Data Dissemination Notice, Freedom of Information Act (FOIA), and e-FOIA amendments. Kindly note that we do not guarantee the accuracy and/or reliability of the contents found on the website.