LARRY STEVEN FREEMAN JR. (NPI# 1144650516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144650516 |
| Entity Type | Individual |
| Full Name | LARRY STEVEN FREEMAN JR. |
| Credential | ARRT (R), CNMT |
| Practice Address |
James H. Quillen Va Medical Center Mountain Home TN 37684 |
| Mailing Address |
2702 Windwood Dr Johnson City TN 37604-5958 |
| Practice Telephone | 4239261171 |
| Practice Fax Number | 4239793414 |
| Mailing Telephone | 4239266978 |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2013-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 247100000X | Radiologic Technologist | 337987 | MN | Technologists, Technicians & Other Technical Service Providers |
| Y | 247100000X | Radiologic Technologist | 526609 | TN | Technologists, Technicians & Other Technical Service Providers |
| N | 2471N0900X |
Radiologic Technologist Specialization: Nuclear Medicine Technology |
037775 | GA | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | THE AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGIST (ARRT), NATIONA | 337987 | 01 |
| TN | CERTIFIED MEDICAL X-RAY TECHNOLOGIST | MDX0000008167 | 01 |
| GA | NUCLEAR MEDICINE TECHNOLOGY CERTIFICATION BOARD (NMTCB), NATIONA | 037775 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598937120 | Larry M Freeman | Private Vehicle | 2455 Butte St, Pocatello, ID 83201-1842 | 2008-03-24 |
| 1871629568 | Larry Allan Freeman | Neuromusculoskeletal Medicine, Sports Medicine | 4161 El Camino Way Ste A, Palo Alto, CA 94306-4084 | 2007-02-26 |
| 1336441526 | Larry Thomas Freeman | Social Worker | 2811 Pennsylvania Ave Se, Washington, DC 20020-3865 | 2010-11-22 |
| 1578758173 | Larry Wayne Freeman | Counselor | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2007-09-07 |
| 1104902014 | Larry Earl Freeman Sr. | Dentist | 5934 Broadway, Affordable Dental, Galveston, TX 77551 | 2006-10-31 |
| 1609956564 | Larry S Freeman | Psychiatry & Neurology | 119 N Commercial St, Suite 1360, Bellingham, WA 98225-4446 | 2006-10-16 |
| 1275511396 | Larry Wayne Freeman | Ophthalmology | 10861 Cherry St, #204, Los Alamitos, CA 90720-5402 | 2006-01-09 |
| Street Address |
JAMES H. QUILLEN VA MEDICAL CENTER |
| City | MOUNTAIN HOME |
| State | TN |
| Zip Code | 37684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144766114 | Arash Farshid | Psychologist | James H. Quillen Va Medical Center, Psychology Service (116b2), Mountain Home, TN 37684-4000 | 2017-01-13 |
| 1629171921 | Gollakota Satya Rekha | Radiology | James H. Quillen Va Medical Center, #114 R Radiation Oncology, Mountain Home, TN 37684-4000 | 2006-09-06 |
| 1831205772 | David R. Reagan | Internal Medicine | James H. Quillen Va Medical Center, Corner of Sidney and Lamont, Mountain Home, TN 37684-4000 | 2006-08-22 |
| 1467473264 | Jennifer Parks Hopkins | Social Worker | James H. Quillen Va Medical Center, Mountain Home, TN 37684 | 2006-07-21 |
| 1396779922 | Carl Bruce Glover | Psychologist | James H. Quillen Va Medical Center, Mountain Home, TN 37684-6000 | 2006-07-10 |
| 1184668386 | David W Greer | Pharmacist | James H. Quillen Va Medical Center, Lamont St., Mountain Home, TN 37685 | 2006-06-16 |
| 1265483317 | Harold Ray Bohlman IIi | Optometrist | James H. Quillen Va Medical Center, Eye Clinic (112e), Mountain Home, TN 37684 | 2006-05-13 |
| 1407839442 | Judith Ellen Reid | Internal Medicine | James H. Quillen Va Medical Center, Corner of Lamont & Veterans Way, Mountain Home, TN 37684-4000 | 2005-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730524 | Kendra Lee Thorne | Psychologist | Corner of Lamont St and Veterans Way, Building 160, Mountain Home, TN 37684 | 2020-11-04 |
| 1255930160 | Maximillian Scott Crockett | Optometrist | James. H Quillen Vamc, Eye Clinic 112e, Mountain Home, TN 37684 | 2020-10-21 |
| 1699393256 | Joshua Thomas Spencer | Pharmacist | Veterans Way and Lamont St, Mountain Home, TN 37684 | 2020-07-10 |
| 1073140265 | James Hankil Kim | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive, Mountain Home, TN 37684 | 2020-03-26 |
| 1932736030 | Trishna Sharma | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive Mountain Home, Johnson City, TN 37684 | 2020-03-26 |
| 1508421884 | Sarvatit Patel | Student in an Organized Health Care Education/Training Program | 52 Lake Dr, Mountain Home, TN 37684 | 2019-05-02 |
| 1902366024 | Katelyn Cserjes | Student in an Organized Health Care Education/Training Program | Building 52 Lake Drive Va Medical Center, Mountain Home, TN 37684 | 2019-03-24 |
| 1114404282 | Anesa Ellen Hughes | Pharmacist | Veterans Way and Lamont St Mountain Home, Mountain Home, TN 37684 | 2018-07-23 |
| 1508352287 | Leon Nguyen | Optometrist | James H. Quillen Vamc - Lamont St & Veterans Way, Eye Clinic 112e, Mountain Home, TN 37684 | 2018-07-06 |
| 1649761750 | Bahaaeldin Ibrahim Mahmoud Youssef | Student in an Organized Health Care Education/Training Program | Va Building 1 Carl A Jones Hall, Dogwood Avenue, Mountain Home, TN 37684 | 2018-05-24 |
| Find all providers in zip 37684 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922483023 | Abigail Bargatze | Radiologic Technologist | 1708 Elm Run Way, Nashville, TN 37214 | 2015-07-30 |
| 1356721245 | Davin Ray Modisette | Radiologic Technologist | 18 Northland Dr, Jackson, TN 38301-3308 | 2015-06-04 |
| 1235568346 | Beata Joanna Czartoryski | Radiologic Technologist | 195 Lasalle Rd, Oak Ridge, TN 37830-8548 | 2013-11-08 |
| 1265786446 | Franklin County Diagnostics, LLC | Radiologic Technologist | 25 Veterans Dr, Decherd, TN 37324-3887 | 2012-11-09 |
| 1336499698 | Fasika Getahun Gebremariam | Radiologic Technologist | 4248 October Woods Dr, Antioch, TN 37013-4876 | 2012-09-14 |
| 1851641567 | Trinity Mobile X-ray | Radiologic Technologist | 6431 Wade Springs Rd, Murfreesboro, TN 37130-8719 | 2012-09-11 |
| 1922356021 | Jannnekee Burchett | Radiologic Technologist | 5292 Bradcliff St, Memphis, TN 38109-7504 | 2012-08-21 |
| 1265796114 | Brandon Dean Wingate | Radiologic Technologist | 323 Savannah Rdg, Murfreesboro, TN 37127-8331 | 2012-06-26 |
| 1689900474 | The Medical Matter LLC | Radiologic Technologist | 23 Gann Rd, Milan, TN 38358-6518 | 2009-10-28 |
| 1215189576 | Calvin Carter Jamel Jr. | Radiologic Technologist | 1912 Streamfield Ct, Antioch, TN 37013-5753 | 2008-10-17 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN HOME |
| Zip Code | 37684 |
Please comment or provide details below to improve the information on LARRY STEVEN FREEMAN JR..
| 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.