PAUL DONALD FREESWICK (NPI# 1619910247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619910247 |
| Entity Type | Individual |
| Full Name | PAUL DONALD FREESWICK |
| Credential | M.D. |
| Practice Address |
One Medical Center Blvd Suite 233 Upland PA 19013-3902 |
| Practice Telephone | 6104477605 |
| Practice Fax Number | 6106198523 |
| Mailing Telephone | 6104477605 |
| Mailing Fax Number | 6106198523 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2014-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
D53827 | MD | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | MD045473L | PA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | D53827 | MD | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
MD045473L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001890516 | 05 | |
| MD | 520007500 | 05 | |
| MD | 520007501 | 05 | |
| PA | HIGHMARK BLUE SHIELD | 2097615 | 01 |
| Street Address |
ONE MEDICAL CENTER BLVD SUITE 233 |
| City | UPLAND |
| State | PA |
| Zip Code | 19013-3902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023014628 | Calvin Randolph Stafford Jr. | Psychiatry & Neurology | One Medical Center Blvd, Suite 533, Upland, PA 19013-3902 | 2005-06-28 |
| 1609495035 | Lindsay Alexandra West | Student in an Organized Health Care Education/Training Program | One Medical Center Blvd, Acp Suite 332, Upland, PA 19013 | 2020-04-15 |
| 1780171876 | Alice Shen | Student in an Organized Health Care Education/Training Program | One Medical Center Blvd, Department of Medicine, Third Floor, East Wing, Upland, PA 19013 | 2018-04-16 |
| 1679002083 | Kirankumar Patel | Internal Medicine | One Medical Center Blvd, Department of Medicine 3 East, Upland, PA 19013 | 2017-06-08 |
| 1194130328 | Baotram Ngoc Luu | Physician Assistant | One Medical Center Blvd, Suite 404, Upland, PA 19013 | 2014-06-26 |
| 1821424102 | Andrew Joseph Mehalick | Internal Medicine | One Medical Center Blvd, Bldg 1 - Suite 400, Upland, PA 19013 | 2013-09-18 |
| 1790048437 | Michael Andrew Lashner | Internal Medicine | One Medical Center Blvd, Bldg 1 - Suite 400, Upland, PA 19013 | 2012-06-18 |
| 1437411352 | Crozer Chester Medical Center | General Acute Care Hospital | One Medical Center Blvd, Acp 332, Upland, PA 19013 | 2012-06-15 |
| 1306112644 | Dexter Doromal Jacob | Internal Medicine | One Medical Center Blvd, Bldg 1 Ste 400, Upland, PA 19013-3902 | 2012-03-30 |
| 1831408871 | Aashay Navin Patel | Internal Medicine | One Medical Center Blvd, Suite 404, Upland, PA 19013-3902 | 2010-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790305043 | Erika Pack | Student in an Organized Health Care Education/Training Program | Crozer-chester Medical Center, 1 Medical Center Blvd., Upland, PA 19013 | 2020-04-16 |
| 1477195287 | Andrew Matthews | Counselor | 301 West 15 Street, Chester, PA 19013 | 2019-10-14 |
| 1780241133 | Raashidah Elizabeth Bowman | Contractor | 1208 Remington Street, Chester, PA 19013 | 2019-05-21 |
| 1134609464 | Shamira Clintonia Johnson | Nurse's Aide | 217 W 5th St, Chester, PA 19013 | 2018-08-16 |
| 1871081299 | Michael Briskey | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blv.d, Chester, PA 19013 | 2018-05-01 |
| 1356845499 | Sonia Gaur | Internal Medicine | 1 Medical Center Blvd Fl 3, Chester, PA 19013 | 2018-03-22 |
| 1548619232 | Beth Barol | Social Worker | 1602 Walnut St, Center for Social Work Education, Chester, PA 19013 | 2016-06-03 |
| 1235594888 | Eryka Jackson | Counselor | 516 West 5th Street, Chester, PA 19013 | 2015-12-28 |
| 1437553146 | Erin Hipple | Counselor | 200 West 9th St, Chester, PA 19013 | 2014-10-09 |
| 1588079867 | Crozer Chester Medical Center | Clinic/Center | 201 Bridgewater Road, Chester Township, PA 19013 | 2014-06-25 |
| Find all providers in zip 19013 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053935635 | Taylor Logan Hall | Surgery | 702 Scott St, Philipsburg, PA 16866-2018 | 2020-05-30 |
| 1629377262 | Filip Moshkovsky | Surgery | 51 N 39th St Ste 1, Philadelphia, PA 19104-2640 | 2011-03-22 |
| 1447243738 | Wyntre Brook Surgical Associates, PC | Surgery | 1399 S Queen St, Lower Level, York, PA 17403-3840 | 2005-08-23 |
| 1407455397 | Veronica Gisondi | Surgery | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-10-21 |
| 1497363816 | Ashley Hine | Surgery | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2020-07-22 |
| 1164047791 | Jordon Christopher Edlund | Surgery | 100 N Academy Ave, Danville, PA 17822-9800 | 2020-06-09 |
| 1922455443 | Prospect Health Access Network, Inc. | Surgery | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2016-05-16 |
| 1730508326 | Abdullah Wafa | Surgery | 1000 East Mountain Blvd, Gmg Wilkes Barre Critical Care, Wilkes Barre, PA 18711 | 2014-04-10 |
| 1669738472 | Anupamaa Seshadri | Surgery | 3550 Terrace Street, Scaife Hall Room 651, Pittsburgh, PA 15261 | 2012-04-05 |
| 1205121993 | Malia G Eischen | Surgery | 1240 S Cedar Crest Blvd Ste 308, Allentown, PA 18103-6370 | 2011-06-10 |
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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.