MRS. AMANDA MORGAN FREEMAN (NPI# 1427329077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427329077 |
Entity Type | Individual |
Full Name | MRS. AMANDA MORGAN FREEMAN |
Credential | PA-C |
Practice Address |
63 Thomas Johnson Dr Suite E Frederick MD 21702-4384 |
Mailing Address |
19802 Crystal Rock Dr Apt 302 Germantown MD 20874-9151 |
Practice Telephone | 3016947600 |
Practice Fax Number | 3012282500 |
Mailing Telephone | 8144419758 |
Enumeration Date | 2012-01-13 |
Last Update Date | 2016-08-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C0004678 | PA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 926580505 | 05 | |
MD | 926580507 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346538923 | Amanda C Freeman | Counselor | 169 Saxony Rd Ste 203, Encinitas, CA 92024-6780 | 2011-07-15 |
1033296249 | Amanda Bautista Freeman | Pediatrics | 98 Sumner St, Newton Center, MA 02459-1958 | 2006-11-01 |
1083214118 | Amanda Renee Freeman | Pharmacist | 10938 S Memorial Dr, Tulsa, OK 74133-7352 | 2020-10-28 |
1164070561 | Amanda Freeman | Behavior Technician | 930 Wall St, Norman, OK 73069-6319 | 2019-08-28 |
1811495393 | Amanda Leanne Freeman | Nurse Practitioner | 603 7th St S Ste 300, St Petersburg, FL 33701-4734 | 2018-01-30 |
1578913901 | Amanda Freeman | Counselor | 9263 S Redwood Rd Bldg 8, Ste B, West Jordan, UT 84088-6571 | 2016-06-16 |
1033574090 | Amanda Renee Freeman | Physical Therapy Assistant | 3130 Central Park W, Suite A, Toledo, OH 43617-1094 | 2015-12-17 |
1366837940 | Amanda Noelle Freeman | Pediatrics | 1775 Delco Park Dr, Dayton, OH 45420 | 2015-04-01 |
1467873786 | Amanda Nicole Freeman | Nurse Practitioner | 55 Fruit St, Yawkey Building Suit 9a, Boston, MA 02114-2621 | 2014-01-05 |
1215209986 | Amanda L Freeman | Nurse Practitioner | 940 Matthew Dr, Ste 8, Waynesboro, MS 39367-2522 | 2012-01-27 |
Street Address |
63 THOMAS JOHNSON DR SUITE E |
City | FREDERICK |
State | MD |
Zip Code | 21702-4384 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942282371 | Michael Rebert Warner | Dermatology | 63 Thomas Johnson Dr, Suite B, Frederick, MD 21702-4384 | 2005-11-21 |
1124494828 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 63 Thomas Johnson Dr, Suite C, Frederick, MD 21702-4384 | 2015-08-17 |
1316323793 | Hillary Ann Borsa | Registered Nurse | 63 Thomas Johnson Dr, Frederick, MD 21702-4384 | 2015-08-07 |
1295142388 | Rebecca Alyson Leonard | Physician Assistant | 63 Thomas Johnson Dr, Suite E, Frederick, MD 21702-4384 | 2014-07-21 |
1619317419 | Sana Jahan Shamim | Podiatrist | 63 Thomas Johnson Dr, Suite C, Frederick, MD 21702-4384 | 2013-06-26 |
1588806616 | Jonathan Richard Van Meter | Dermatology | 63 Thomas Johnson Dr, Suite A, Frederick, MD 21702-4384 | 2009-04-06 |
1063695005 | Warner & Vanmeter M.d.pa | Dermatology | 63 Thomas Johnson Dr, Suite A, Frederick, MD 21702-4384 | 2007-12-13 |
1578742250 | Michael R. Warner Mdpa | Dermatology | 63 Thomas Johnson Dr, Suite B, Frederick, MD 21702-4384 | 2007-10-30 |
1699967869 | Jennifer Bell | Podiatrist | 63 Thomas Johnson Dr, Suite C, Frederick, MD 21702-4384 | 2007-08-13 |
1912030024 | David J Levine Dpm C Ped | Podiatrist | 63 Thomas Johnson Dr, Suite C, Frederick, MD 21702-4384 | 2007-03-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
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Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801164066 | Atekelt Yilma Tadese | Physician Assistant | 46-b Thomas Johnson Drive, Suite 200, Frederick, MD 21702 | 2011-12-02 |
1619121472 | Barbara S. Rebele | Physician Assistant | 22 S Market St, Suite 6d, Frederick, MD 21701-5570 | 2008-11-06 |
1790954253 | Robert Paul Cathor | Physician Assistant | 56 Thomas Johnson Drive, Ste 110, Frederick, MD 21702-4599 | 2008-02-28 |
1598946006 | Justina A Bennett | Physician Assistant | 85 Thomas Johnson Ct, Suite C, Internal Medicine Specialists of Frederick, Frederick, MD 21702 | 2007-11-27 |
1104809342 | Tara Carson Jernejcic | Physician Assistant | 100 South Market Street, Frederick Community Action Agency, Frederick, MD 21701 | 2005-11-22 |
1376001214 | Lewis Edel Bertus | Physician Assistant | 610 Solarex Ct, Frederick, MD 21703-8624 | 2019-03-11 |
1922510056 | Paola Haros | Physician Assistant | 196 Thomas Johnson Dr, Frederick, MD 21702-4397 | 2017-10-30 |
1861867459 | Kelly Murray | Physician Assistant | 915 Toll House Ave Ste 103, Frederick, MD 21701-5911 | 2015-12-08 |
1295142388 | Rebecca Alyson Leonard | Physician Assistant | 63 Thomas Johnson Dr, Suite E, Frederick, MD 21702-4384 | 2014-07-21 |
1912332123 | Brittany Leigh Henry | Physician Assistant | 87 Thomas Johnson Dr Ste 101, Frederick, MD 21702-4427 | 2013-09-06 |
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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.