DR. DAVID STEPHEN FREITAG (NPI# 1053387050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053387050 |
Entity Type | Individual |
Full Name | DR. DAVID STEPHEN FREITAG |
Credential | M.D. |
Practice Address |
26800 S Tamiami Trl Suite 360 Bonita Springs FL 34134-4349 |
Mailing Address |
29170 Positano Court Naples FL 34110-2851 |
Practice Telephone | 2394951234 |
Practice Fax Number | 2394952345 |
Mailing Telephone | 2395943131 |
Enumeration Date | 2006-02-28 |
Last Update Date | 2014-03-18 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
MD60147325 | WA | Allopathic & Osteopathic Physicians |
Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
ME103242 | FL | Allopathic & Osteopathic Physicians |
N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
101044482 | VA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 004044200 | 05 | |
FL | BCBS | 145AU | 01 |
Street Address |
26800 S TAMIAMI TRL SUITE 360 |
City | BONITA SPRINGS |
State | FL |
Zip Code | 34134-4349 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720066673 | Ivan E Terrero | Dentist | 26800 S Tamiami Trl, Suite 350, Bonita Springs, FL 34134-4349 | 2006-01-01 |
1164875936 | Skin Cancer Center of Naples LLC | Nurse Practitioner | 26800 S Tamiami Trl, Suite 360, Bonita Springs, FL 34134-4349 | 2016-07-18 |
1356711865 | Lizet Balazi | Physician Assistant | 26800 S Tamiami Trl, #310, Bonita Springs, FL 34134-4349 | 2015-09-28 |
1578994372 | Brian G. Fabian Md Pa | Specialist | 26800 S Tamiami Trl, #310, Bonita Springs, FL 34134-4349 | 2013-12-03 |
1619268547 | Erin Lake | Nurse Practitioner | 26800 S Tamiami Trl, Suite 340, Bonita Springs, FL 34134-4349 | 2011-04-26 |
1063673382 | Family Health Centers of Southwest Florida Inc | Clinic/Center | 26800 S Tamiami Trl, #150, Bonita Springs, FL 34134-4349 | 2008-06-19 |
1528269701 | Mark David Bronner | Dentist | 26800 S Tamiami Trl, 240, Bonita Springs, FL 34134-4349 | 2007-05-29 |
1245362763 | Brian George Fabian | Dermatology | 26800 S Tamiami Trl, Suite 310, Bonita Springs, FL 34134-4349 | 2007-03-10 |
1982760369 | Arturo Balandra | Urology | 26800 S Tamiami Trl, Suite 250, Bonita Springs, FL 34134-4349 | 2006-12-29 |
1134235617 | Victoria L Yorke | Family Medicine | 26800 S Tamiami Trl, Suite 340, Bonita Springs, FL 34134-4349 | 2006-08-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255803706 | Sheila Mourick | Home Health | 3920 Via Del Ray, Suite 4, Bonita Springs, FL 34134 | 2018-12-21 |
1447702162 | Averie Bendana | Hearing Instrument Specialist | 15 8th St Suite B, Hoglund Family Hearing, Bonita Springs, FL 34134 | 2016-10-28 |
1366990830 | Jordania Psychiatry LLC | Clinic/Center | 25111 Pennyroyal Dr, Bonita Springs, FL 34134 | 2016-09-14 |
1447682497 | Shancy Varghese Kanacheril | Pharmacist | 25121 S. Tamiami Trail, Bonita Springs, FL 34134 | 2013-08-01 |
1861762163 | Alyssa Haraczy | Pharmacist | 25121 S. Tamiami Trl, Bonita Springs, FL 34134 | 2012-01-04 |
1982905659 | Jessica Ann Rosen | Speech-Language Pathologist | 3384 Woods Edge Cir Ste 104, Bonita Springs, FL 34134 | 2010-11-10 |
1902116718 | Keenan Chiropractic Pa | Chiropractor | 3388 Woods Edge Circle Suite 102, Bonita Springs, FL 34134 | 2010-10-14 |
1659683076 | Amy Marie Mcneal | Massage Therapist | 28811 S. Tamiami Trail Unit 13-14, Bonita Springs, FL 34134 | 2010-07-14 |
1740509157 | Sarah Churton | Dermatology | 23471 Walden Center Drive, Suite 300, Bonita Springs, FL 34134 | 2010-05-25 |
1609003516 | Ram Prasad Kafle | Family Medicine | 26800 S Tamiami Trl Ste 340, Bonita Springs, FL 34134 | 2009-06-18 |
Find all providers in zip 34134 |
Taxonomy Code | 207ND0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | MOHS-Micrographic Surgery |
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093983884 | Brian G. Fabian Md Pa | Dermatology | 26800 S Tamiami Trl Ste 310, Bonita Springs, FL 34134-4348 | 2008-02-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144827577 | Onspot-fl LLC. | Dermatology | 16461 Domestic Ave, Fort Myers, FL 33912-6008 | 2020-10-08 |
1942855150 | International Dermatology Research, Inc. | Dermatology | 8370 W Flagler St Ste 200, Miami, FL 33144-2038 | 2019-08-05 |
1154815546 | Forefront Dermatology, S.c. | Dermatology | 7720 Us Highway 98 W Ste 240, Miramar Beach, FL 32550-7232 | 2018-06-19 |
1437517802 | Total Vein and Skin LLC | Dermatology | 10383 Hagen Ranch Road, Ste 100, Boynton Beach, FL 33437-3732 | 2016-02-01 |
1861812851 | Anand Haryani | Dermatology | 8745 N Us Highway 1, Sebastian, FL 32958-7524 | 2014-04-17 |
1164841797 | Michael Montuno | Dermatology | 38135 Market Sq Ste 108, Zephyrhills, FL 33542-7505 | 2014-04-10 |
1861813719 | Hillcrest Dermatology and Plastic Surgery P.a. | Dermatology | 733 Highway 466, Lady Lake, FL 32159-6340 | 2013-12-19 |
1922355957 | Florida Medical Specialists | Dermatology | 4351 Cortez Rd W, Suite 101, Bradenton, FL 34210 | 2012-08-09 |
1619232501 | Alliant Dermatology Pa | Dermatology | 8620 E County Road 466, The Villages, FL 32162-3670 | 2012-07-07 |
1114218328 | Leavitt Medical Assocaittes of Florida Inc | Dermatology | 1426 E Bloomindale Ave, Valrico, FL 33596 | 2011-04-21 |
Find all providers with the same taxonomy |
City | BONITA SPRINGS |
Zip Code | 34134 |
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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.