Isaac D Freeborn (NPI# 1972705333, PAC ID# 8426149527) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1972705333 |
| PAC ID by PECOS | 8426149527 |
| Professional Enrollment ID | I20131122000664 |
| Full Name | Isaac D Freeborn |
| Organization Legal Name | TK EMERGENCY PHYSICIANS GROUP PLLC |
| Address |
11233 Shadow Creek Pkwy Suite 313 Pearland TX 77584-7367 |
| Phone Number | 3463525100 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF OHIO |
| Graduation Year | 2003 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE, PEDIATRIC MEDICINE |
| Group Practice PAC ID | 2567799091 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 670109 | ALTUS BAYTOWN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 11233 Shadow Creek Pkwy, Suite 313, Pearland, TX 77584-7367 | 3463525100 | TK EMERGENCY PHYSICIANS GROUP PLLC |
| 333 N Texas Ave, 1000 Houston Physicians' Hospital, Webster, TX 77598-4962 | 2815575650 | HPH EMERGENCY PHYSICIANS PLLC |
| Organization Legal Name | TK EMERGENCY PHYSICIANS GROUP PLLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth M Direkly | Emergency Medicine | Tk Emergency Physicians Group Pllc | 11233 Shadow Creek Pkwy, Suite 313, Pearland, TX 77584-7367 |
| Kashif Ahmed Siddiqui | Family Medicine | Tk Emergency Physicians Group Pllc | 11233 Shadow Creek Pkwy, Suite 313, Pearland, TX 77584-7367 |
| Cyril Gillman | Emergency Medicine | Tk Emergency Physicians Group Pllc | 11233 Shadow Creek Pkwy, Suite 313, Pearland, TX 77584-7367 |
| Atiba E Bell | Emergency Medicine | Tk Emergency Physicians Group Pllc | 11233 Shadow Creek Pkwy, Suite 313, Pearland, TX 77584-7367 |
| Jimmy L Cooper | Emergency Medicine | Tk Emergency Physicians Group Pllc | 11233 Shadow Creek Pkwy, Suite 313, Pearland, TX 77584-7367 |
| Gonzalo Gonzalez | Emergency Medicine | Tk Emergency Physicians Group Pllc | 11233 Shadow Creek Pkwy, Suite 313, Pearland, TX 77584-7367 |
| Eric D Roberson | Emergency Medicine | Tk Emergency Physicians Group Pllc | 11233 Shadow Creek Pkwy, Suite 313, Pearland, TX 77584-7367 |
| Frederick W Kersh | Family Medicine | Tk Emergency Physicians Group Pllc | 11233 Shadow Creek Pkwy, Suite 313, Pearland, TX 77584-7367 |
| Street Address |
11233 SHADOW CREEK PKWY SUITE 313 |
| City | PEARLAND |
| State | TX |
| Zip | 77584-7367 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth M Direkly | Emergency Medicine | Tk Emergency Physicians Group Pllc | 11233 Shadow Creek Pkwy, Suite 313, Pearland, TX 77584-7367 |
| Kashif Ahmed Siddiqui | Family Medicine | Tk Emergency Physicians Group Pllc | 11233 Shadow Creek Pkwy, Suite 313, Pearland, TX 77584-7367 |
| Cyril Gillman | Emergency Medicine | Tk Emergency Physicians Group Pllc | 11233 Shadow Creek Pkwy, Suite 313, Pearland, TX 77584-7367 |
| Atiba E Bell | Emergency Medicine | Tk Emergency Physicians Group Pllc | 11233 Shadow Creek Pkwy, Suite 313, Pearland, TX 77584-7367 |
| Jimmy L Cooper | Emergency Medicine | Tk Emergency Physicians Group Pllc | 11233 Shadow Creek Pkwy, Suite 313, Pearland, TX 77584-7367 |
| Gonzalo Gonzalez | Emergency Medicine | Tk Emergency Physicians Group Pllc | 11233 Shadow Creek Pkwy, Suite 313, Pearland, TX 77584-7367 |
| Eric D Roberson | Emergency Medicine | Tk Emergency Physicians Group Pllc | 11233 Shadow Creek Pkwy, Suite 313, Pearland, TX 77584-7367 |
| Frederick W Kersh | Family Medicine | Tk Emergency Physicians Group Pllc | 11233 Shadow Creek Pkwy, Suite 313, Pearland, TX 77584-7367 |
| Emily M Zwahr | Nurse Practitioner | Advanced Infusions Pa | 11233 Shadow Creek Pkwy, Pearland, TX 77584-7345 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darren M Chapman | Urology | 10970 Shadow Creek Pkwy, Suite 255, Pearland, TX 77584-0100 | |
| Michael T Mineo | Urology | Houston Metro Urology | 10970 Shadow Creek Pkwy, Suite 255, Pearland, TX 77584-0100 |
| Frances A Smith | Obstetrics/gynecology | Kelsey-seybold Medical Group, Pllc | 10970 Shadow Creek Pkwy, Pearland, TX 77584-0100 |
| Yong F Li | Family Practice | Kelsey-seybold Medical Group, Pllc | 10970 Shadow Creek Pkwy, Pearland, TX 77584-0100 |
| Robert A Renner | Urology | Kelsey-seybold Medical Group, Pllc | 10970 Shadow Creek Pkwy, Pearland, TX 77584-0100 |
| Lecresha A Peters | Family Practice | Kelsey-seybold Medical Group, Pllc | 10970 Shadow Creek Pkwy, Pearland, TX 77584-0100 |
| Jiwan L Gupta | Registered Dietitian Or Nutrition Professional | Kelsey-seybold Medical Group, Pllc | 10970 Shadow Creek Pkwy, Pearland, TX 77584-0100 |
| Vishalakshmi Batchu | Internal Medicine | 10970 Shadow Creek Pkwy, Suite 120, Pearland, TX 77584-0101 | |
| Jamie Elizabeth Terry | Surgical Oncology | Texas Oncology Pa | 10970 Shadow Creek Pkwy, Suite 280, Pearland, TX 77584-0103 |
| Sonal Sethi | Medical Oncology | Texas Oncology Pa | 10970 Shadow Creek Pkwy, Suite 280, Pearland, TX 77584-0103 |
| Find all physicians in zip 77584 | |||
| City | PEARLAND |
| Zip Code | 77584 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PEARLAND + INTERNAL MEDICINE |
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| 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.