DR. LARRY WAYNE FREEMAN (NPI# 1578758173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578758173 |
| Entity Type | Individual |
| Full Name | DR. LARRY WAYNE FREEMAN |
| Credential | D.MIN. |
| Practice Address |
Medical Center Blvd Winston Salem NC 27157-0001 |
| Mailing Address |
1004 Wessyngton Rd Winston Salem NC 27104-1232 |
| Practice Telephone | 3367137710 |
| Practice Fax Number | 3367137701 |
| Mailing Telephone | 3367686888 |
| Mailing Fax Number | 3367137701 |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2007-09-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
343 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598937120 | Larry M Freeman | Private Vehicle | 2455 Butte St, Pocatello, ID 83201-1842 | 2008-03-24 |
| 1871629568 | Larry Allan Freeman | Neuromusculoskeletal Medicine, Sports Medicine | 4161 El Camino Way Ste A, Palo Alto, CA 94306-4084 | 2007-02-26 |
| 1144650516 | Larry Steven Freeman Jr. | Radiologic Technologist | James H. Quillen Va Medical Center, Mountain Home, TN 37684 | 2013-11-20 |
| 1336441526 | Larry Thomas Freeman | Social Worker | 2811 Pennsylvania Ave Se, Washington, DC 20020-3865 | 2010-11-22 |
| 1104902014 | Larry Earl Freeman Sr. | Dentist | 5934 Broadway, Affordable Dental, Galveston, TX 77551 | 2006-10-31 |
| 1609956564 | Larry S Freeman | Psychiatry & Neurology | 119 N Commercial St, Suite 1360, Bellingham, WA 98225-4446 | 2006-10-16 |
| 1275511396 | Larry Wayne Freeman | Ophthalmology | 10861 Cherry St, #204, Los Alamitos, CA 90720-5402 | 2006-01-09 |
| Street Address |
MEDICAL CENTER BLVD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27157-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811990815 | Gary Lee Ray | Registered Nurse | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2005-05-23 |
| 1881295418 | Alan Townes Grizzard | Nurse Practitioner | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-11-02 |
| 1003421751 | Nicholas Ryan Tuttle | Nurse Anesthetist, Certified Registered | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-09-10 |
| 1356956122 | Caitlin Marie Clement | Nurse Anesthetist, Certified Registered | Medical Center Blvd, Winston Salem, NC 27103 | 2020-09-09 |
| 1376154591 | Lori Sansone Flores | Nurse Practitioner | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-08-11 |
| 1821609330 | Hannah Carey Walker | Physician Assistant | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-08-10 |
| 1447876883 | Raveena Mahesh Chhabria | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-06-22 |
| 1780205930 | Jason Chin | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston Salem, NC 27157-1087 | 2020-04-29 |
| 1972122885 | Bryanna Dean Vesely | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-04-10 |
| 1679102909 | Ameen Barghi | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston Salem, NC 27157-2803 | 2020-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255960241 | Alexandra Marie Balmaceda | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center Pathology Dept, #1 Medical Center Blvd., Winston-salem, NC 27157 | 2020-04-02 |
| 1164916680 | Jorie Elizabeth Gatts | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Department of Pediatrics, Winston Salem, NC 27157 | 2018-06-18 |
| 1932606555 | Alexi Rae Ellington Webb | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine, Dept of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-04-10 |
| 1851896674 | Wasim Muhammad | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-03-25 |
| 1336643535 | Phillip Martin Kostelic | Student in an Organized Health Care Education/Training Program | Anesthesiology - Wake Forest Baptist Medical Center, 1 Medical Center Blvd, Winston-salem, NC 27157 | 2018-03-21 |
| 1831693324 | Aleah Bond | Student in an Organized Health Care Education/Training Program | Anesthesiology Wake Forest Baptist Medical Center, Medical Center Boulevard, Winston-salem, NC 27157 | 2018-03-20 |
| 1134644859 | Ilan Binyamin Klein | Urology | Wake Forest Baptist Health, Department of Urology, Medical Center Boulevard, Winston-salem, NC 27157 | 2017-08-03 |
| 1023467529 | Edward John Doyle IIi | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Otolaryngology, Watlington Hall 4th Fl. Medical Center Boulevard, Winston-salem, NC 27157 | 2016-06-07 |
| 1477917888 | Jordan Mae Burner | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Office, Wake Forest Baptist Medical Center, Medical Center Blvd, Winston-salem, NC 27157 | 2016-04-12 |
| 1174900476 | Kate Elise Winterbottom | Speech-Language Pathologist | 4 Janeway Medical Center Blvd, Hearing and Speech, Winston Salem, NC 27157 | 2015-05-06 |
| Find all providers in zip 27157 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215566385 | Sherrie Nicole Fogg | Counselor | 215 Braeburn Dr, Winston Salem, NC 27127-4691 | 2020-04-02 |
| 1831721968 | Olivia Henderson Smith | Counselor | 1 Medical Center Blvd 5th Floor Watlington Hall, Winston Salem, NC 27157-0001 | 2020-02-06 |
| 1578110805 | Elevation Counseling Services Pllc | Counselor | 1922 S Martin Luther King Jr Dr Ste 27, Winston Salem, NC 27107-1361 | 2019-08-21 |
| 1356900898 | Kendal Simeon Brown | Counselor | 4830 Tutelo Trl, Winston Salem, NC 27127-9419 | 2019-06-09 |
| 1497216667 | Larry Lamont Joe Jr. | Counselor | 1348 Westgate Center Dr Ste 204, Winston Salem, NC 27103-2984 | 2019-03-28 |
| 1558829994 | Esther Fredrica Dixon | Counselor | 326 N Spring St, Winston Salem, NC 27101-2722 | 2019-03-05 |
| 1609383736 | Stephanie Gimenez | Counselor | 163 Stratford Ct Ste 225, Winston Salem, NC 27103-1836 | 2018-01-10 |
| 1194239665 | Brandon Andre Jevon James | Counselor | 1922 S Martin Luther King Jr Dr Ste 225, Winston Salem, NC 27107-1361 | 2017-11-20 |
| 1417484304 | Jessica Lynn Vaughn | Counselor | 3640 Westgate Center Cir Ste A, Winston Salem, NC 27103 | 2017-05-22 |
| 1316472475 | Wendy Marshall | Counselor | 5078 Leeshire Way, Winston Salem, NC 27106-1870 | 2017-04-26 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27157 |
Please comment or provide details below to improve the information on DR. LARRY WAYNE FREEMAN.
| 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.