Basic Information
| Provider Information | |||||||||
| NPI: | 1780638817 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JAMES J FREEMAN DO PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1650 VALLEY CENTER PKWY | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | BETHLEHEM | ||||||||
| State: | PA | ||||||||
| PostalCode: | 180172344 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4848844436 | ||||||||
| FaxNumber: | 4848844444 | ||||||||
| Practice Location | |||||||||
| Address1: | 4 W MAIN ST | ||||||||
| Address2: | |||||||||
| City: | MACUNGIE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 180621120 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6109674993 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/22/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | FREEMAN | ||||||||
| AuthorizedOfficialFirstName: | JAMES | ||||||||
| AuthorizedOfficialMiddleName: | J | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 6109674993 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | DO | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | PA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 1463710 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | 1012730140001 | 05 | PA | MEDICAID | 2148505001 | 01 | PA | KEYSTONE EAST | OTHER | 1463710 | 01 | PA | KEYSTONE CENTRAL | OTHER | 21448505001 | 01 | PA | AMERIHEALTH (IBC) | OTHER | CK8070 | 01 | PA | RAILROAD MEDICARE | OTHER |