Jon K Freckleton (NPI# 1114196615, PAC ID# 0749500114) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1114196615 |
| PAC ID by PECOS | 0749500114 |
| Professional Enrollment ID | I20160623000626 |
| Full Name | Jon K Freckleton |
| Organization Legal Name | SOUTH ROUTT MEDICAL CENTER |
| Address |
300 Main St Oak Creek CO 80467-0008 |
| Phone Number | 9702368118 |
| Gender | M |
| Medical School | UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | GENERAL PRACTICE |
| Secondary Specialties | OSTEOPATHIC MANIPULATIVE MEDICINE |
| Group Practice PAC ID | 4880696822 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060049 | UCHEALTH YAMPA VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 300 Main St, Oak Creek, CO 80467-0008 | 9702368118 | SOUTH ROUTT MEDICAL CENTER |
| Organization Legal Name | SOUTH ROUTT MEDICAL CENTER |
| Physicians | 1 |
| Street Address |
300 MAIN ST |
| City | OAK CREEK |
| State | CO |
| Zip | 80467-0008 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela L Wood | Certified Registered Nurse Anesthetist (crna) | Central Maine Medical Center | 300 Main St, Lewiston, ME 04240-7027 |
| Jerrold T Gale | Diagnostic Radiology | X-ray Professional Association | 300 Main St, Lewiston, ME 04240-7027 |
| Glenda M Kribel | Certified Registered Nurse Anesthetist (crna) | Central Maine Medical Center | 300 Main St, Lewiston, ME 04240-7027 |
| Pamela G Argereow | Nurse Practitioner | Central Maine Medical Center | 300 Main St, Lewiston, ME 04240-7027 |
| John J Harris | Diagnostic Radiology | X-ray Professional Association | 300 Main St, Lewiston, ME 04240-7027 |
| Tasha M Duval | Obstetrics/gynecology | Central Maine Medical Center | 300 Main St, Lewiston, ME 04240-7027 |
| Charles R Gasser | Otolaryngology | Central Maine Medical Center | 300 Main St, Lewiston, ME 04240-7027 |
| Carlene J Ianuzzi | Psychologist, Clinical | 300 Main St, Suite 5, Vestal, NY 13850-1545 | |
| Norris Lee | Otolaryngology | Central Maine Medical Center | 300 Main St, Lewiston, ME 04240-7027 |
| Maylene I Peralta | Endocrinology | Central Maine Medical Center | 300 Main St, Lewiston, ME 04240-7027 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel H Smilkstein | Family Medicine | South Routt Medical Center Health Service District | 300 Main St, Oak Creek, CO 80467-0008 |
| Linda B Casner | Nurse Practitioner | South Routt Medical Center Health Service District | 300 Main St, Oak Creek, CO 80467-0008 |
| City | OAK CREEK |
| Zip Code | 80467 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | OAK CREEK + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Jon K Freckleton.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.