CARL FREEMAN (NPI# 1629172846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629172846 |
| Entity Type | Individual |
| Full Name | CARL FREEMAN |
| Credential | MD |
| Practice Address |
3635 Vista 3rd Fl St Louis MO 63110 |
| Mailing Address |
3691 Rutger Ave Provider Enrollment St Louis MO 63110 |
| Practice Telephone | 3145778566 |
| Practice Fax Number | 3142685194 |
| Mailing Telephone | 3149774440 |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2016-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 2005020832 | MO | Allopathic & Osteopathic Physicians |
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
2005020832 | MO | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
2005020832 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326206921 | Carl R Freeman | Orthopaedic Surgery | 1325 San Marco Blvd, Suite 200, Jacksonville, FL 32207-8568 | 2008-05-30 |
| Street Address |
3635 VISTA 3RD FL |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194829705 | Donald L Kaminski | Surgery | 3635 Vista, 3rd Floor, St Louis, MO 63110 | 2006-09-12 |
| 1598869109 | William F Sasser | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3635 Vista, 3rd Floor, St Louis, MO 63110 | 2006-09-12 |
| 1003910225 | Eddy C Hsueh | Surgery | 3635 Vista, 3rd Floor, St Louis, MO 63110 | 2006-09-08 |
| 1457455677 | Richard D. Bucholz | Neurological Surgery | 3635 Vista, 3rd Fl, St Louis, MO 63110 | 2006-09-08 |
| 1356445571 | Bruce A Kraemer | Surgery | 3635 Vista, 3rd Floor, St Louis, MO 63110 | 2006-09-08 |
| 1073617296 | Ralph J Graff | Surgery | 3635 Vista, 3rd Fl, St Louis, MO 63110 | 2006-09-08 |
| 1932202363 | Keith S Naunheim | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3635 Vista, 3rd Floor Department of Surgery, St Louis, MO 63110 | 2006-09-07 |
| 1972614626 | Saleem I Abdulrauf | Neurological Surgery | 3635 Vista, 3rd Fl, St Louis, MO 63110 | 2006-08-31 |
| 1639288236 | Robert M Maloney | Urology | 3635 Vista, 3rd Fl, St Louis, MO 63110 | 2006-08-29 |
| 1336258995 | Paolo R Salvalaggio | Surgery | 3635 Vista, 3rd Floor, St Louis, MO 63110 | 2006-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| 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 |
|---|---|---|---|---|
| 1861810111 | Abbie May Jensen | Surgery | 615 S New Ballas Rd Ste 560a, Saint Louis, MO 63141-8221 | 2014-04-03 |
| 1457521478 | Manuel Almendral Castasus | Surgery | 884 Woodsmill Road, Ttg Locum Tenens, Ballwin, MO 63011 | 2008-03-05 |
| 1205907359 | Dennis M Arce Md | Surgery | 6420 Prospect Ave Ste 311, Kansas City, MO 64132-4130 | 2006-11-12 |
| 1811087547 | Hillary Aa Chollet Md PC | Surgery | 6400 Prospect Ave Ste 338, Kansas City, MO 64132-1100 | 2006-10-13 |
| 1063468361 | Midwest Trauma Services, LLC | Surgery | 2330 East Meyer Blvd, T-207, Kansas City, MO 64132-4147 | 2006-05-26 |
| 1285684167 | Pascal Nyachowe | Surgery | 4320 Wornall Rd Ste 5320, Kansas City, MO 64111-5941 | 2006-05-11 |
| 1760934889 | Glenarm Acute Surgical Specialists LLC | Surgery | 2316 E Meyer Blvd, Kansas City, MO 64132-1136 | 2016-10-25 |
| 1194019968 | Kevin Clay Christian | Surgery | 3800 S National Ave, 4th Floor, Springfield, MO 65807-5209 | 2011-06-08 |
| 1316262793 | Jennifer Marie Laplante | Surgery | 400 1st Capitol Dr Ste 201, Saint Charles, MO 63301-2882 | 2010-03-29 |
| 1922236314 | Jeffrey Ray Simpson | Surgery | 2330 E Meyer Blvd, Ste 207, Kansas City, MO 64132-1132 | 2009-06-24 |
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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.