MICHAEL C FREE (NPI# 1104930593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104930593 |
| Entity Type | Individual |
| Full Name | MICHAEL C FREE |
| Credential | RPA-C |
| Practice Address |
1 Titus Place Walton NY 13856 |
| Mailing Address |
1 Titus Place Emergency Dept. Walton NY 13856 |
| Practice Telephone | 6078652189 |
| Practice Fax Number | 8455653395 |
| Mailing Telephone | 6078652189 |
| Mailing Fax Number | 8455653395 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2017-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
004868 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942324025 | Michael W Free | Social Worker | 83 Highway 48, Summerville, GA 30747-1506 | 2007-03-16 |
| Street Address |
1 TITUS PLACE |
| City | WALTON |
| State | NY |
| Zip Code | 13856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790852531 | Gary Mitkowski | Emergency Medicine | 1 Titus Place, Walton, NY 13856 | 2006-11-29 |
| 1528164464 | Graciela West | Physician Assistant | 1 Titus Place, Walton, NY 13856 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164973962 | Leeann Otto | Registered Nurse | 88 Griswold St, Walton, NY 13856 | 2016-10-18 |
| 1134518582 | Crystal Burr | Licensed Practical Nurse | 1773 Dryden Rd, Walton, NY 13856 | 2015-01-22 |
| 1043573348 | Dawn F. Northrup | Registered Nurse | 47-49 Stockton Ave., Walton, NY 13856 | 2012-06-21 |
| 1659657120 | Gladys A Frazier | Registered Nurse | 42 North Street, Walton, Ny,13856, NY 13856 | 2011-10-28 |
| 1073763918 | William S Korwan | Dentist | 83 Liberty St, Walton, NY 13856 | 2008-09-29 |
| 1609039866 | Diane Zieba-virone | Pharmacist | 215 Delaware Street, Walton, NY 13856 | 2008-07-08 |
| 1326133752 | Edward Arthur Wilson | Social Worker | Delaware County Mental Health Clinic, One Hospital Road, Walton, NY 13856 | 2006-10-03 |
| 1568445583 | Julie Beth Vernold | Nurse Practitioner | 130 North St., Walton, NY 13856 | 2005-11-23 |
| 1184621062 | Cynthia M Cantwell | Nurse Practitioner | 2 Titus Place, Walton, NY 13856 | 2005-07-07 |
| 1467715466 | Kelly Cable Finn | Nurse Practitioner | 1 Hospital Rd, Walton, NY 13856 | 2012-06-25 |
| Find all providers in zip 13856 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252581 | North Shore Medical Group Pllc | Physician Assistant | 311 Skyview Ter, Syracuse, NY 13219-2835 | 2020-10-12 |
| 1477169654 | Kristen Ariel O'connell | Physician Assistant | 85 John St Apt 7a, New York, NY 10038-2844 | 2020-09-22 |
| 1699381616 | David Nmn Kao | Physician Assistant | 737 Pleasant Avenue, Westbury, NY 11590-6407 | 2020-09-16 |
| 1043824816 | Elizabeth Keane | Physician Assistant | 25 Hollis Dr, Sound Beach, NY 11789-1629 | 2020-08-31 |
| 1497364111 | Tianna Stephens | Physician Assistant | 165 N Village Ave Ste 5, Rockville Centre, NY 11570-3701 | 2020-07-28 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1841818895 | Yanick Dugue | Physician Assistant | 4 Lincoln Ave, New Hyde Park, NY 11040-3125 | 2020-07-07 |
| 1194340505 | Kayleigh Marie Tourt | Physician Assistant | 222 Alexander St Fl 4, Rochester, NY 14607-4039 | 2020-06-11 |
| 1023638509 | Kristina Rajic | Physician Assistant | 7237 66th Dr, Flushing, NY 11379-2111 | 2020-04-24 |
| 1114547791 | Michele Hein | Physician Assistant | 700 Veterans Memorial Hwy, Hauppauge, NY 11788-2952 | 2020-04-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.