MR. SCOTT DAVID FREEMAN (NPI# 1528310836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528310836 |
| Entity Type | Individual |
| Full Name | MR. SCOTT DAVID FREEMAN |
| Credential | PA-C |
| Practice Address |
4900 Broad Rd Syracuse NY 13215-2265 |
| Mailing Address |
4725 North St Jamesville NY 13078-9411 |
| Practice Telephone | 3154925011 |
| Mailing Telephone | 3156635187 |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2012-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
016085 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396906483 | Scott D Freeman | Internal Medicine | 222 Station Plz N Ste 605, Mineola, NY 11501-3893 | 2008-06-20 |
| 1093992257 | Scott Freeman | Chiropractor | 1816 1/2 Walnut St, Alameda, CA 94501-1442 | 2008-01-29 |
| 1851447460 | Scott Freeman | Dermatology | 70 Midtown Park E, Mobile, AL 36606-4140 | 2007-01-26 |
| 1164454138 | Scott Ryan Freeman | Dentist | 17211 S Golden Rd Ste 100, Golden, CO 80401-2685 | 2006-07-07 |
| 1508802752 | Scott A Freeman | Physician Assistant | 900 Carillon Pkwy Ste 404, St Petersburg, FL 33716-1121 | 2006-06-22 |
| 1962456632 | Scott Freeman | Dentist | 6363 Emerald, Boise, ID 83904 | 2006-05-19 |
| 1164413126 | Scott Garth Freeman | Emergency Medical Technician, Basic | 8896 Clearwater Cir, Fogelsville, PA 18051-2046 | 2005-10-31 |
| 1821484072 | Scott Vincent Freeman | Internal Medicine | 900 Potomac St, Aurora, CO 80011-6716 | 2015-04-14 |
| 1992144695 | Scott Freeman | Chiropractor | 1610 C St Ste 103, Vancouver, WA 98663-3400 | 2013-06-17 |
| 1598825424 | Scott David Freeman | Physician Assistant | 605 Holderrieth Blvd, Tomball, TX 77375-6445 | 2006-12-11 |
| Street Address |
4900 BROAD RD |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13215-2265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336143221 | David C Canfield | Anesthesiology | 4900 Broad Rd, Syracuse, NY 13215-2265 | 2005-06-08 |
| 1205474335 | Meaghan Porter | Physical Therapist | 4900 Broad Rd, Syracuse, NY 13215-2265 | 2019-12-19 |
| 1982262655 | Ryan Christopher Staib | Nurse Anesthetist, Certified Registered | 4900 Broad Rd, Syracuse, NY 13215-2265 | 2019-05-29 |
| 1164989505 | Jessica Detor | Social Worker | 4900 Broad Rd, Physician Office Building North 3n, Syracuse, NY 13215-2265 | 2019-02-21 |
| 1316402415 | Oleksandr Kaplun | Physician Assistant | 4900 Broad Rd, Syracuse, NY 13215-2265 | 2019-02-04 |
| 1003390204 | Ianna Javier Garcia | Occupational Therapist | 4900 Broad Rd, Syracuse, NY 13215-2265 | 2018-09-24 |
| 1194207241 | Rebekah Schu | Physician Assistant | 4900 Broad Rd, Syracuse, NY 13215-2265 | 2018-09-05 |
| 1669990065 | Katrina E Garrigan | Physician Assistant | 4900 Broad Rd, Syracuse, NY 13215-2265 | 2017-09-06 |
| 1336667948 | Kristy Mcgough | Physician Assistant | 4900 Broad Rd, Syracuse, NY 13215-2265 | 2017-09-04 |
| 1285158402 | Nicholas David Treinin | Pharmacist | 4900 Broad Rd, Syracuse, NY 13215-2265 | 2017-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396367785 | Jeffrey Alan Gaulrapp | Registered Nurse | Upstate University Hospital Community General Campus, 4900 Broad Road, Syracuse, NY 13215 | 2020-05-08 |
| 1134752454 | Crystal Elizabeth Hoban | Marriage & Family Therapist | 4922 W. Seneca Turnpike, Syracuse, NY 13215 | 2020-02-14 |
| 1083004907 | Roger G Levine Md | Psychiatric Residential Treatment Facility | 4914 West Seneca Turnpkie, Syracuse, NY 13215 | 2015-01-30 |
| 1558771071 | Edleanna Robinson | Licensed Practical Nurse | 5075 W Seneca Turnpike, Syracuse, NY 13215 | 2014-05-06 |
| 1689013450 | Rhonda Lee Philopena | Emergency Medicine | 4900 Broad Rd 1st Fl, Syracuse, NY 13215 | 2013-06-14 |
| 1962778498 | Marie Anne Stevens | Licensed Practical Nurse | 4057 Seneca Tpk, Van Duyn Home and Hospital, Syracuse, NY 13215 | 2012-03-29 |
| 1033439088 | Anna-marie Simpson | Chiropractor | 4922 W Seneca Tpke, Syracuse, NY 13215 | 2010-06-01 |
| 1992028690 | A John Wylie | Pharmacist | 4840 Sherwood Dr., Syracuse, NY 13215 | 2010-03-09 |
| 1669616512 | Asalim A Thabet | Emergency Medicine | 4900 Braod Rd, 1st Fl, Syracuse, NY 13215 | 2009-04-22 |
| 1992948707 | Jesse Reed Gutnick | Surgery | 4900 Borad Rd, Suite 23 North, Syracuse, NY 13215 | 2009-04-08 |
| Find all providers in zip 13215 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1851586986 | Alyssa C Miles | Physician Assistant | 1304 Buckley Rd Ste 200, Nephrology Associates of Syracuse, PC, Syracuse, NY 13212-4317 | 2007-09-11 |
| 1730710690 | Danielle Burke | Physician Assistant | 104 Union Ave Ste 809, Syracuse, NY 13203-1843 | 2020-01-30 |
| 1235799768 | Peter J Colligan | Physician Assistant | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2019-06-17 |
| 1992278584 | Philip Macleod | Physician Assistant | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2019-01-07 |
| 1578038832 | Kathryn Ann Landon | Physician Assistant | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2018-10-12 |
| 1043795735 | Dianne Marie Vitkus | Physician Assistant | 301 Prospect Ave, Syracuse, NY 13203-1899 | 2018-09-27 |
| 1215419775 | Brianna Fedorich | Physician Assistant | 736 Irving Ave, Syracuse, NY 13210-1690 | 2018-08-31 |
| 1790204535 | Matthew Sherwood | Physician Assistant | 736 Irving Ave, Syracuse, NY 13210-1687 | 2017-09-13 |
| 1881110245 | Gregory Thomas Pier | Physician Assistant | 739 Irving Ave Ste 600, Syracuse, NY 13210-1663 | 2017-08-17 |
| Find all providers in SYRACUSE | ||||
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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.