DONALD S FREEDMAN MD PA (NPI# 1730378043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730378043 |
| Entity Type | Organization |
| Organization Name | DONALD S FREEDMAN MD PA |
| Other Organization Name | NORTHSIDE MEDICAL CLINIC |
| Practice Address |
480 Busch Dr Jacksonville FL 32218-5553 |
| Practice Telephone | 9047645000 |
| Mailing Telephone | 9047645000 |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2008-04-01 |
| Authorized Official Name | MRS. SHARON MINGER WILSON (OFFICE ADMINISTRATOR) |
| Authorized Official Telephone | 9047645000 |
| Authorized Official Credential | MGR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
ME 31964 | FL | Allopathic & Osteopathic Physicians |
| N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
OS58811 | FL | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | ME31964 | FL | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | ME49644 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE SHIELD OF FLORIDA | 62840 | 01 |
| Other Name | Type Code |
|---|---|
| Northside Medical Clinic | Doing Business As Name - Organization |
| Street Address |
480 BUSCH DR |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32218-5553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982700746 | Donald S Freedman Md Pa | Obstetrics & Gynecology | 480 Busch Dr, Jacksonville, FL 32218-5553 | 2006-09-16 |
| 1124125133 | Hung Van Tran | Family Medicine | 480 Busch Dr, Jacksonville, FL 32218-5553 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684170 | Damon Lamar Baker | Nurse Practitioner | 12533 Sampson Rd, Jacksonville, Fl, FL 32218 | 2020-09-21 |
| 1578199303 | First Coast Health Ventures, LLC | Skilled Nursing Facility | 15480 Max Leggett Parkway, Jacksonville, FL 32218 | 2020-03-12 |
| 1932679594 | Alaina Rachelle Stanley | Counselor | 11683 Spring Board Dr, Jacksonville, FL 32218 | 2018-11-27 |
| 1508345133 | War Cry Ministry Inc | Counselor | 435 Eric Ave, Jacksonville, FL 32218 | 2018-08-14 |
| 1285111484 | St Vincent's Full Service Urgent Care, LLC | Clinic/Center | 15510 Max Leggett Parkway, Ste A, Jacksonville, FL 32218 | 2018-07-20 |
| 1427544501 | Derrick Roberts | Behavioral Analyst | 11302 Forestdale Rd, Jacksonville, FL 32218 | 2018-07-02 |
| 1215420229 | Companion & Compassion LLC | Home Health | 856 Poydras Ln W, Jacksonville, FL 32218 | 2018-06-13 |
| 1952894784 | Michael Alexander Aaro | Dentist | 1840 Dunn Ave Ste 3, Jacksonville, FL 32218 | 2018-06-06 |
| 1235629445 | Melissa C Moree | Counselor | 13453 Main St. North, Suite 104, Jacksonville, FL 32218 | 2018-05-14 |
| 1861900896 | Sheila Nowlin | Physical Therapist | 1034 Dunn Ave, Jacksonville, FL 32218 | 2018-01-11 |
| Find all providers in zip 32218 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528680220 | Florida Injury & Regenerative Medicine, Pllc | General Practice | 8640 Philips Hwy Ste 10, Jacksonville, FL 32256-1208 | 2020-05-15 |
| 1689296808 | Sajid Khan Md LLC | General Practice | 4600 Touchton Rd E Ste 1150, Jacksonville, FL 32246-1542 | 2020-05-11 |
| 1396392767 | Yurelsy Galvez Ricardo | General Practice | 725 Middle Branch Way, Jacksonville, FL 32259-6201 | 2019-08-21 |
| 1639721772 | Deborah Brabham | General Practice | 10990 Lydia Estates Dr E, Jacksonville, FL 32218-6940 | 2019-07-09 |
| 1851868459 | Nursing On Demand Inc | General Practice | 1260 Mcduff Ave S # 3, Jacksonville, FL 32205-8030 | 2018-11-01 |
| 1295202984 | Summit Integrative Health, LLC | General Practice | 12627 San Jose Blvd Ste 305, Jacksonville, FL 32223-8639 | 2018-10-31 |
| 1558864736 | Andrew Louis Monroe | General Practice | As-100 White Street, Jacksonville, NC 28540 | 2018-03-14 |
| 1255859641 | Mcgowan Medical Centers, Pa | General Practice | 3021 N Main St, Jacksonville, FL 32206-2122 | 2017-09-06 |
| 1972953339 | Colin Kenneth Kelly | General Practice | Bureau of Medicine & Surgery Detachment, Nas Jacksonville, Building 554, Jacksonville, FL 32212 | 2016-06-16 |
| 1700247863 | Emily Calhoun | General Practice | 554 Kelly Ln, Jacksonville, FL 32234-3049 | 2016-03-16 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32218 |
Please comment or provide details below to improve the information on DONALD S FREEDMAN MD PA.
| 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.