FREEPORT FAMILY MEDICINE LLC (NPI# 1477595858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477595858 |
Entity Type | Organization |
Organization Name | FREEPORT FAMILY MEDICINE LLC |
Practice Address |
1588 Highway 20 West Freeport FL 32439 |
Practice Telephone | 8508357050 |
Practice Fax Number | 8508357045 |
Mailing Telephone | 8508357050 |
Mailing Fax Number | 8508357045 |
Enumeration Date | 2006-06-12 |
Last Update Date | 2008-01-25 |
Authorized Official Name | MICKEY PICKLER (VP) |
Authorized Official Telephone | 8508973678 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
Street Address |
1588 HIGHWAY 20 WEST |
City | FREEPORT |
State | FL |
Zip Code | 32439 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518464767 | Molly Lutz | Specialist/Technologist | 12615 Business Hwy 331, Freeport, FL 32439 | 2018-04-12 |
1952840266 | Katherine Mclelland | Specialist/Technologist | 12615 U.S. 331 Bus, Freeport, FL 32439 | 2017-02-20 |
1497160360 | Jennewein, Np-c, LLC | Health Maintenance Organization | 40 Washington Street, Freeport, FL 32439 | 2014-06-30 |
1407292220 | Lauren Neighbors Youtz | Physician Assistant | 479 E. Hwy 20, Freeport, FL 32439 | 2013-05-20 |
1841537180 | Jeanne Elizabeth Brehm | Contractor | 2516 Co Hwy 3280, Freeport, FL 32439 | 2013-01-07 |
1417247529 | Lindsay L Shirley | Dentist | 30 Blueberry Road, Freeport, FL 32439 | 2011-04-10 |
1659476281 | Garlon Ray Weeks | Pharmacist | 132 East Hwy 20, Freeport, FL 32439 | 2006-09-14 |
1366413049 | Christopher Ray Weeks | Pharmacist | 132 E Hwy 20, Freeport, FL 32439 | 2006-01-30 |
1992902100 | Freeport Family Chiropractic Clinic LLC | Chiropractor | 40 Washington St., Freeport, FL 32439 | 2007-06-29 |
1033215454 | Kimberly C Hill | Pharmacist | 132 State Highway 20 E, Freeport, FL 32439 | 2006-09-15 |
Find all providers in zip 32439 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104156769 | Lisa W Lucas | Family Medicine | 42 Mallett Dr Ste 3, Freeport, ME 04032-1355 | 2010-01-05 |
1376746982 | Stephen Welch | Family Medicine | 3002 Wheatland Ter, Freeport, IL 61032-2996 | 2007-06-10 |
1790837714 | Marc-anthony Louis Charles | Family Medicine | 334 W Merrick Rd, Freeport, NY 11520 | 2007-01-18 |
1821194267 | David Martin Johnson | Family Medicine | 36 Old South Freeport Road, Freeport, ME 04032-6146 | 2006-09-15 |
1659481844 | Michael J. Muise | Family Medicine | 1301 Kiwanis Dr, Freeport, IL 61032-6907 | 2006-08-30 |
1700824000 | Brian Keith Knighton | Family Medicine | 42 Mallett Dr, Freeport, ME 04032-1355 | 2006-06-02 |
1881649747 | Brazosport Community Medical Clinic | Family Medicine | 606 N Gulf Blvd, Freeport, TX 77541-3902 | 2006-05-22 |
1972579175 | Michael R Perry | Family Medicine | 10 W Linden St, Freeport, IL 61032-3310 | 2006-02-27 |
1780657270 | Brian T Bennett | Family Medicine | 3001 Highland View Dr, Freeport, IL 61032-6942 | 2006-02-07 |
1528030202 | Beth A Kalnins | Family Medicine | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2006-02-06 |
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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.