GARY WAYNE FREEMAN (NPI# 1649245283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649245283 |
| Entity Type | Individual |
| Full Name | GARY WAYNE FREEMAN |
| Credential | MD |
| Practice Address |
4730 Chicago Ave Minneapolis MN 55407-3570 |
| Mailing Address |
8170 33rd Ave S Bloomington MN 55425-4516 |
| Practice Telephone | 9529677676 |
| Mailing Telephone | 9529677676 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2020-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 25427 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770661910 | Gary Michael Freeman | Obstetrics & Gynecology | 8803 S 101st East Ave Ste 210, Tulsa, OK 74133-5730 | 2006-11-02 |
| 1952704462 | Gary Freeman | Pharmacist | 3911 Bienville Blvd, Ocean Springs, MS 39564-4519 | 2014-09-29 |
| 1144324658 | Gary C Freeman | Orthopaedic Surgery | 3701 Kirby Dr, Suite 1228, Houston, TX 77098-3915 | 2006-09-13 |
| 1285665059 | Gary S. Freeman | Anesthesiology | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2006-07-06 |
| 1114906732 | Gary M Freeman | Family Medicine | 4820 W Taft Rd, Ste 215, Liverpool, NY 13088-2800 | 2006-01-12 |
| Street Address |
4730 CHICAGO AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407-3570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710976865 | Catalin Constantin | Dentist | 4730 Chicago Ave, Minneapolis, MN 55407-3570 | 2005-10-20 |
| 1710545058 | Hannah Emily Reykdal | Nurse Practitioner | 4730 Chicago Ave, Minneapolis, MN 55407-3570 | 2019-06-02 |
| 1164932570 | Caroline Abenakyo | Nurse Practitioner | 4730 Chicago Ave, Minneapolis, MN 55407-3570 | 2017-10-11 |
| 1386163434 | Lauren Velin | Nurse Practitioner | 4730 Chicago Ave, Minneapolis, MN 55407-3570 | 2017-09-10 |
| 1639697527 | Kristina Popov | Registered Nurse | 4730 Chicago Ave, Minneapolis, MN 55407 | 2017-08-31 |
| 1194248203 | Barbara B Eliason | Nurse Practitioner | 4730 Chicago Ave, Minneapolis, MN 55407-3570 | 2017-07-20 |
| 1114449311 | Hayley Keller Gindlin | Nurse Practitioner | 4730 Chicago Ave, Minneapolis, MN 55407-3570 | 2017-07-10 |
| 1790220424 | Sherry Renee Walkowicz | Nurse Practitioner | 4730 Chicago Ave, Minneapolis, MN 55407-3570 | 2017-01-04 |
| 1124560768 | Tonya Lynn Larson | Nurse Practitioner | 4730 Chicago Ave, Minneapolis, MN 55407-3570 | 2016-11-14 |
| 1376095448 | Tina Coyle | Nurse Practitioner | 4730 Chicago Ave, Minneapolis, MN 55407-3570 | 2016-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| 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 |
|---|---|---|---|---|
| 1336594498 | Jaimi Weber | Family Medicine | Mmc 381, 420 Delaware St. Se, Minneapolis, MN 55445 | 2016-04-26 |
| 1376906388 | Sama Healthcare | Family Medicine | 2639 Nicollet Ave., Suite 130, Minneapolis, MN 55408 | 2016-03-29 |
| 1902209687 | Elaine May | Family Medicine | 2861 Burnham Blvd, Minneapolis, MN 55416-4331 | 2014-10-08 |
| 1952741050 | Gregory Olszewski | Family Medicine | 19 S 1st St Apt B2603, Minneapolis, MN 55401-1845 | 2013-07-03 |
| 1881940864 | Isaac Milton Engholm | Family Medicine | 825 Nicollet Mall Ste 403, Minneapolis, MN 55402-2611 | 2012-07-27 |
| 1942572763 | Neighborhood Healthsource | Family Medicine | 1015 4th Avenue North, Suite 201, Minneapolis, MN 55405-1178 | 2012-02-09 |
| 1225323371 | Yun Chau Bernice Lee | Family Medicine | 2823 Dean Pkwy, Minneapolis, MN 55416-4401 | 2011-06-16 |
| 1730487208 | Specialized Medical Response, LLC | Family Medicine | 401 Harding St Ne #100, Minneapolis, MN 55413 | 2011-03-08 |
| 1285930065 | Allina Health System | Family Medicine | 3024 Snelling Ave S, Minneapolis, MN 55406-1911 | 2011-01-27 |
| 1013226844 | Corban Health Care, Pllc | Family Medicine | 5141 36th Ave S, Minneapolis, MN 55417-1518 | 2010-09-28 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
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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.