JACK P FREER (NPI# 1154393015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154393015 |
| Entity Type | Individual |
| Full Name | JACK P FREER |
| Credential | MD |
| Practice Address |
900 Hertel Ave Buffalo NY 14216-2611 |
| Practice Telephone | 7168711571 |
| Mailing Telephone | 7168711571 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2008-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 127507 | NY | Allopathic & Osteopathic Physicians |
| N | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
127507 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
900 HERTEL AVE |
| City | BUFFALO |
| State | NY |
| Zip Code | 14216-2611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003888058 | Donna Conway | Nurse Practitioner | 900 Hertel Ave, Buffalo, NY 14216-2611 | 2006-02-03 |
| 1568950293 | Renee Marie Creamer | Nurse Practitioner | 900 Hertel Ave, Buffalo, NY 14216-2611 | 2018-04-27 |
| 1215324181 | Dacia Anastacia Harris | Internal Medicine | 900 Hertel Ave, Buffalo, NY 14216-2611 | 2015-04-18 |
| 1306258504 | Morteza Komeylian | Student in an Organized Health Care Education/Training Program | 900 Hertel Ave, Buffalo, NY 14216-2611 | 2014-05-22 |
| 1073945127 | Khalid Pasha | Student in an Organized Health Care Education/Training Program | 900 Hertel Ave, Buffalo, NY 14216-2611 | 2013-07-31 |
| 1740413749 | Roberto Orlando Diaz Del Carpio | Internal Medicine | 900 Hertel Ave, Buffalo, NY 14216-2611 | 2009-08-25 |
| 1316919814 | Irwin Friedman | Internal Medicine | 900 Hertel Ave, Buffalo, NY 14216-2611 | 2006-02-07 |
| 1750353470 | Ann E Miller | Nurse Practitioner | 900 Hertel Ave, Buffalo, NY 14216-2611 | 2006-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740752054 | Melanie Ivette Gonzalez | Occupational Therapist | 81 Rachel Vincent Way, Buffalo, NY 14216 | 2018-12-27 |
| 1245650308 | Maria Orellana-matta | Family Medicine | 900 Hertel Avenue, Buffalo, NY 14216 | 2014-04-16 |
| 1174823298 | Kostace Leslie Kyser | Dental Hygienist | 78 Commonwealth, Buffalo, NY 14216 | 2010-10-22 |
| 1205150737 | Barbara Jane Madison | Pharmacist | 1388 Hertel Ave, Buffalo, NY 14216 | 2010-03-26 |
| 1487894317 | Melissa Ryan Trillo | Speech-Language Pathologist | 780 Parkside Ave, Buffalo, NY 14216 | 2009-03-05 |
| 1003033010 | Dan W Rajca | Pharmacist | 1001 Hertel Avenue, Buffalo, NY 14216 | 2007-04-19 |
| 1629294806 | Nikita Chandrakant Dave | Physical Medicine & Rehabilitation | 699 Hertel Ave., Industrial Medicine Office, Buffalo, NY 14216 | 2007-04-17 |
| 1437260692 | Ruth Theresa Black | Social Worker | 29 Tennyson Ave, Buffalo, NY 14216 | 2006-08-31 |
| 1033229604 | Promed Inc | Durable Medical Equipment & Medical Supplies | 350 Hinman Ave, Buffalo, NY 14216 | 2006-08-30 |
| 1457361719 | Sylvia Marzullo | Physical Therapist | 2625 Delaware Ave, Buffalo, NY 14216 | 2006-08-09 |
| Find all providers in zip 14216 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366076663 | Wny Community Health Centers, Inc | Internal Medicine | 135 Grant Street, Buffalo, NY 14213 | 2020-02-25 |
| 1992216907 | Providence Therapeutics, LLC | Internal Medicine | 141 Elm St Apt 3c, Buffalo, NY 14203-2083 | 2017-10-17 |
| 1598291866 | Muhammad Umar Bilal | Internal Medicine | 2157 Main Street, 5th Floor, University At Buffalo Chs Internal Medicine Training Pr, Buffalo, NY 14214 | 2017-05-05 |
| 1487180105 | Sandeep Kumar | Internal Medicine | 100 High Street - Buffalo General Medical Center, Buffalo, NY 14203 | 2017-05-02 |
| 1194072405 | Shameem Ahmad Beigh | Internal Medicine | 2157 Main Street, Sisters of Charity Hospital, Internal Medicine Residency Program, Buffalo, NY 14214-2080 | 2012-08-07 |
| 1598086902 | Lionel A. Sifontes, M.d, P.C. | Internal Medicine | 2772 Main St, Buffalo, NY 14214-1704 | 2010-06-21 |
| 1023338118 | Jeremiah O Sullivan Md PC | Internal Medicine | 2218 Main St, Buffalo, NY 14214-2635 | 2010-06-11 |
| 1518198993 | Marija Radovic | Internal Medicine | General Internal Medicine-e2 Buffalo General Hospital, 100 High Street, Buffalo, NY 14203 | 2009-08-03 |
| 1104075308 | Jiyeon Jung | Internal Medicine | 1500 Broadway Ave, Buffalo, NY 14212-1845 | 2008-09-11 |
| 1770778045 | Manoj Jacob Mammen | Internal Medicine | 100 High St # B-8, Department of Medicine, Buffalo, NY 14203-1126 | 2007-09-10 |
| Find all providers in BUFFALO | ||||
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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.