JED LOREN FREEMAN (NPI# 1275669038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275669038 |
| Entity Type | Individual |
| Full Name | JED LOREN FREEMAN |
| Credential | M.D. |
| Practice Address |
2510 Airpark Dr Suite 103 Redding CA 96001-2449 |
| Mailing Address |
Po Box 496084 Redding CA 96049-6084 |
| Practice Telephone | 5302428822 |
| Practice Fax Number | 5302420849 |
| Mailing Telephone | 5302410473 |
| Mailing Fax Number | 5302415377 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2009-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
35-056102F | OH | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
G73860 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G738600 | 05 |
| Street Address |
2510 AIRPARK DR SUITE 103 |
| City | REDDING |
| State | CA |
| Zip Code | 96001-2449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861493173 | Richard A Ragsdale | Internal Medicine | 2510 Airpark Dr, Suite 205, Redding, CA 96001-2449 | 2005-08-09 |
| 1114337326 | Leo Eickhoff Md Inc | Internal Medicine | 2510 Airpark Dr, Ste 102, Redding, CA 96001-2449 | 2014-04-28 |
| 1447680301 | Walter L. Fletscher, M.d., Inc. | Internal Medicine | 2510 Airpark Dr, Suite 302, Redding, CA 96001-2449 | 2013-11-13 |
| 1285913970 | Jonathan T Adams | Physician Assistant | 2510 Airpark Dr, Suite 201, Redding, CA 96001-2449 | 2011-08-11 |
| 1639463144 | Betsy Theresa Oppezzo | Physician Assistant | 2510 Airpark Dr, Suite 301, Redding, CA 96001-2449 | 2011-06-01 |
| 1245523489 | James Thomas Bonnett | Registered Nurse | 2510 Airpark Dr, Ste 301, Redding, CA 96001 | 2011-05-20 |
| 1588999718 | Anthony M. Thijssen, M.d., Inc | Urology | 2510 Airpark Dr, Suite 103, Redding, CA 96001-2449 | 2009-10-06 |
| 1710005202 | Steven Irey | Physician Assistant | 2510 Airpark Dr, Suite 301, Redding, CA 96001-2449 | 2007-03-26 |
| 1356473078 | Shawn M Brubaker | Orthopaedic Surgery | 2510 Airpark Dr, Ste 301, Redding, CA 96001-2449 | 2007-03-09 |
| 1609915131 | Unilab Corporation | Clinical Medical Laboratory | 2510 Airpark Dr, Ste 202, Redding, CA 96001-2449 | 2007-02-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
| 1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
| 1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| 1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
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| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
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|---|---|---|---|---|
| 1275645301 | Ajay Verma M.d. Inc | Internal Medicine | 1555 East St Ste 230, Redding, CA 96001-1153 | 2006-08-31 |
| 1497907455 | Redding Radiation Oncologists PC | Internal Medicine | 963 Butte St, Redding, CA 96001-0828 | 2008-10-21 |
| 1356489181 | Arun Kumar Kalra | Internal Medicine | 310 Hartnell Ave, Redding, CA 96002-1800 | 2007-02-02 |
| 1659387132 | Dyanesh Bapu G Ravindran | Internal Medicine | 310 Hartnell Ave, Redding, CA 96002-1800 | 2006-08-01 |
| 1528099264 | Promila Dhanuka, M.d., Inc. | Internal Medicine | 2145 Court St, Redding, CA 96001-2531 | 2006-07-05 |
| 1225094469 | Promila Dhanuka | Internal Medicine | 2145 Court St, Redding, CA 96001-2531 | 2006-04-25 |
| 1396701546 | North State Cancer Specialty Inc | Internal Medicine | 2510 Airpark Dr, Suite 103, Redding, CA 96001 | 2006-04-25 |
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| 1396365144 | Collin Vu Md, Inc. | Internal Medicine | 10438 Salinas River Cir, Fountain Valley, CA 92708-6841 | 2020-04-22 |
| 1720626757 | Fenix Health Medical Oncology Group PC | Internal Medicine | 72301 Country Club Dr Ste 109, Rancho Mirage, CA 92270-8007 | 2019-12-20 |
| 1871141598 | Edward A, Wagner, M.d., Inc. | Internal Medicine | 25500 Rancho Niguel Rd Ste 240, Laguna Niguel, CA 92677-7373 | 2019-08-27 |
| 1255988341 | Christopher Lemieux | Internal Medicine | 300 Pasteur Dr # H1010, Stanford, CA 94305-2200 | 2019-08-22 |
| 1063972131 | Titfany Wang | Internal Medicine | 133 N Prairie Ave Ste C, Inglewood, CA 90301-4878 | 2019-03-23 |
| 1649736687 | Adventist Health Physicians Network | Internal Medicine | 95 Declaration Dr Ste 1, Chico, CA 95973-4916 | 2019-02-14 |
| 1518433762 | Teamx Medical Group | Internal Medicine | 7253 N Cherry Ln, Van Nuys, CA 91405-5477 | 2018-10-15 |
| 1508352675 | Oncology Physicians Network of California PC | Internal Medicine | 700 N Brand Blvd Ste 640, Glendale, CA 91203-4271 | 2018-07-02 |
| 1881184026 | R.w. Weber, M.d., A Medical Corporation | Internal Medicine | 1800 Sullivan Ave Rm 603, Daly City, CA 94015-2226 | 2018-05-14 |
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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.