TIMOTHY J FREEMAN (NPI# 1417997958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417997958 |
| Entity Type | Individual |
| Full Name | TIMOTHY J FREEMAN |
| Credential | MD |
| Practice Address |
2845 Greenbrier Rd Ste 310 Green Bay WI 54311-6519 |
| Mailing Address |
2845 Greenbrier Rd Ste 310 Po Box 8900 Green Bay WI 54303-2728 |
| Practice Telephone | 9202888300 |
| Practice Fax Number | 9202888305 |
| Mailing Telephone | 9202888300 |
| Mailing Fax Number | 9202888305 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2010-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
23051-20 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30383200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447580063 | Timothy Lavar Freeman | Occupational Therapist | 8213 Escaflowne Ave, Charlotte, NC 28216-2265 | 2010-01-04 |
| 1942358437 | Timothy A Freeman Jr. | Dentist | 533 Hill Rd N, Pickerington, OH 43147-1159 | 2007-01-08 |
| 1801168349 | Timothy L Freeman | Registered Nurse | 25210 Blakely Dr, Plainfield, IL 60585-6750 | 2012-01-30 |
| 1538456801 | Timothy Scot Freeman | Student in an Organized Health Care Education/Training Program | 1 Childrens Plz, Dayton, OH 45404-1898 | 2011-07-07 |
| 1407018534 | Timothy Freeman | Social Worker | 1000 S Houston Ave, Russellville, AR 72801-5816 | 2008-06-30 |
| 1861400228 | Timothy K Freeman | Dentist | 2920 N 4th St, Flagstaff, AZ 86004 | 2006-08-03 |
| 1104882661 | Timothy Duane Freeman | Family Medicine | 3120 Burnet Ave, Cincinnati, OH 45229-3091 | 2006-04-25 |
| Street Address |
2845 GREENBRIER RD STE 310 |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-6519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407828676 | Ramon Ray Gregorio Rayel | Internal Medicine | 2845 Greenbrier Rd Ste 310, Green Bay, WI 54311-6519 | 2006-02-02 |
| 1134387871 | Adam C Harrig | Physician Assistant | 2845 Greenbrier Rd Ste 310, Green Bay, WI 54311-6519 | 2008-05-29 |
| 1801817432 | Francis G Wolf | Internal Medicine | 2845 Greenbrier Rd Ste 310, Green Bay, WI 54311-6519 | 2006-07-21 |
| 1033130653 | William T Witmer | Internal Medicine | 2845 Greenbrier Rd Ste 310, Green Bay, WI 54311-6519 | 2006-07-21 |
| 1932137114 | David W Mathias | Internal Medicine | 2845 Greenbrier Rd Ste 310, Green Bay, WI 54311-6519 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1295370807 | Jennifer Marie Arendt | Technician | 2970 Mossy Oak Cir #39, Green Bay, WI 54311 | 2019-11-07 |
| 1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
| 1124670898 | Robert H Wagner Family Dentist S.c. | Dentist | 2830 Curry Court, Suite 1, Green Bay, WI 54311 | 2019-07-12 |
| 1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
| 1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
| 1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
| 1851844161 | Green Bay Family Dental LLC | Dentist | 2609 Development Dr., Green Bay, WI 54311 | 2016-08-03 |
| 1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
| Find all providers in zip 54311 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1396824074 | Cardiology Associates of Green Bay, Ltd | Internal Medicine | 744 S. Webster Ave, 2nd Floor, Green Bay, WI 54301-3505 | 2006-11-03 |
| 1407828676 | Ramon Ray Gregorio Rayel | Internal Medicine | 2845 Greenbrier Rd Ste 310, Green Bay, WI 54311-6519 | 2006-02-02 |
| 1639157936 | Peter Fergus | Internal Medicine | 1727 Shawano Ave, Ste 201, Green Bay, WI 54303-3273 | 2006-01-06 |
| 1245659051 | Laura S Beacher | Internal Medicine | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2014-04-09 |
| 1467771535 | Bellin Memorial Hospital Inc | Internal Medicine | 744 S Webster Ave, 2nd Floor, Green Bay, WI 54301-3505 | 2010-05-27 |
| 1174841985 | Armaan C Shaikh | Internal Medicine | 2845 Greenbrier Rd, Green Bay, WI 54311 | 2010-05-04 |
| 1750534533 | Bellin Memorial Hospital Inc | Internal Medicine | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2008-10-24 |
| 1609027168 | Kendra Marsh-kates | Internal Medicine | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2008-10-02 |
| 1659412401 | Green Bay Cardiothoracic & Vascular LLC | Internal Medicine | 720 S Van Buren St, Suite 303, Green Bay, WI 54301-3538 | 2007-02-12 |
| 1336238161 | Mohammad R. Jazayeri | Internal Medicine | 744 S Webster Ave, 2nd Floor, Green Bay, WI 54301-3505 | 2006-10-12 |
| Find all providers in GREEN BAY | ||||
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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.