MR. JACOB FREEMAN (NPI# 1467969972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467969972 |
| Entity Type | Individual |
| Full Name | MR. JACOB FREEMAN |
| Credential | PA |
| Practice Address |
21 Dwight Rd Ste 104 Longmeadow MA 01106-1765 |
| Mailing Address |
280 Chestnut St Fl 2 Springfield MA 01199-1001 |
| Practice Telephone | 4137954555 |
| Practice Fax Number | 4137949448 |
| Mailing Telephone | 4137945700 |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2020-10-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA6332 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649412669 | Jacob L Freeman | Neurological Surgery | 1901 Se 18th Ave Ste 101, Ocala, FL 34471-8211 | 2009-04-06 |
| 1558502724 | Jacob R Freeman | Licensed Practical Nurse | 1016 2nd St, Lancaster, OH 43130-4607 | 2009-03-17 |
| 1194323642 | Jacob R Freeman | Behavior Technician | 111 E Central Ave, Spokane, WA 99208-1108 | 2020-10-15 |
| Street Address |
21 DWIGHT RD STE 104 |
| City | LONGMEADOW |
| State | MA |
| Zip Code | 01106-1765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558378257 | Robin E Powers | Internal Medicine | 21 Dwight Rd Ste 104, Longmeadow, MA 01106-1765 | 2006-08-02 |
| 1346779154 | Tiffany Le | Physician Assistant | 21 Dwight Rd Ste 104, Longmeadow, MA 01106-1765 | 2017-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831797646 | Paula Arrigg | Counselor | 175 Dwight Road, Longmeadow, MA 01106 | 2020-10-14 |
| 1003429010 | Optimal Therapy Solutions, LLC | Clinic/Center | 127 Bel Air Drive, Longmeadow, MA 01106 | 2020-08-28 |
| 1164840666 | Erin Feller | Pediatrics | 123 Dwight Rd., Longmeadwod, MA 01106 | 2014-04-01 |
| 1255611299 | Christina Rose Lalime | Community Health Worker | 206 Bel Air Dive, Longmeadow, MA 01106 | 2011-08-22 |
| 1851503742 | Andrew M. Oxman | Counselor | 1200 Converse Street, Longmeadow, MA 01106 | 2007-05-04 |
| 1093833048 | Lilly Gaev | Social Worker | Therapeutic Associates PC, 167 Dwight Rd #104, Longmeadow, MA 01106 | 2007-03-27 |
| 1093840530 | Julie A Cox | Psychologist | 167 Dwight Rd #104, Therapeutic Associates PC, Longmeadow, MA 01106 | 2007-02-23 |
| 1932252897 | Karen Elizabeth Marsian | Podiatrist | 123 Dwight Road, Suite 13 W1, Longmeadow, MA 01106 | 2007-01-22 |
| 1386700227 | Visions of Longmeadow | Eyewear Supplier (Equipment, not the service) | 471 Longmeadow Street, Visions of Longmeadow, Longmeadow, MA 01106 | 2006-12-28 |
| 1437226701 | Richard T. Longo | Psychologist | 167 Dwight Road, Suite #104, Longmeadow, MA 01106 | 2006-11-29 |
| Find all providers in zip 01106 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891319570 | Nathan Philip Byrne | Physician Assistant | 460 Bliss Rd, Longmeadow, MA 01106-1548 | 2020-05-29 |
| 1508376849 | Pamela Jenner Jeppson | Physician Assistant | 21 Dwight Road, Suit 105, Longmeadow, MA 01106 | 2017-09-30 |
| 1346779154 | Tiffany Le | Physician Assistant | 21 Dwight Rd Ste 104, Longmeadow, MA 01106-1765 | 2017-06-06 |
| 1881819209 | Grace Albert | Physician Assistant | 21 Dwight Road, Suite 104, Longmeadow, MA 01106 | 2007-04-13 |
| 1225071657 | Sharon M Woods | Physician Assistant | 21 Dwight Road, Suite 105, Longmeadow, MA 01106 | 2006-06-14 |
| 1396733671 | Melanie J Kirouac | Physician Assistant | 21 Dwight Road, Suite 105, Longmeadow, MA 01106 | 2005-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897024 | Eoin Moriarty | Physician Assistant | 99 Merryknoll Rd, Weymouth, MA 02191-2020 | 2020-09-30 |
| 1942812334 | Manacey Clermont | Physician Assistant | 21 Robinson Rd, Woburn, MA 01801-6136 | 2020-08-18 |
| 1801411756 | Kimberly Marques | Physician Assistant | 3 Medeiros Farm Rd, Seekonk, MA 02771-2029 | 2020-06-16 |
| 1821613548 | Emily Reynolds | Physician Assistant | 7 Blood Rd, Charlton, MA 01507-5128 | 2020-06-09 |
| 1275155590 | Makenna Camara | Physician Assistant | 249 Hixville Rd, North Dartmouth, MA 02747-1937 | 2020-05-08 |
| 1720608912 | John Eastman | Physician Assistant | 243b Savin Hill Ave, Boston, MA 02125-1003 | 2020-04-17 |
| 1871122168 | Alexandra Emmanuelle Rochman | Physician Assistant | 54 W Crystal Brook Dr, Springfield, MA 01118-1946 | 2020-04-07 |
| 1366074122 | Heather Kirby | Physician Assistant | 264 Fowler Rd, Westfield, MA 01085-4013 | 2020-02-10 |
| 1639712011 | Joseph John Milos | Physician Assistant | 201 Carlson Ln, West Barnstable, MA 02668-1224 | 2019-10-18 |
| 1912558321 | Rafael Rondeau | Physician Assistant | 12 Indian Pond Rd, Kingston, MA 02364-2051 | 2019-09-26 |
| Find all providers with the same taxonomy | ||||
| City | LONGMEADOW |
| Zip Code | 01106 |
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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.