Healthcare Provider Details

I. General information

NPI: 1467623751
Provider Name (Legal Business Name): RONALD A. FREIREICH, D.P.M.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2008
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26949 CHAGRIN BLVD STE 200
BEACHWOOD OH
44122-4230
US

IV. Provider business mailing address

28790 CHAGRIN BLVD SUITE 200
WOODMERE OH
44122-4638
US

V. Phone/Fax

Practice location:
  • Phone: 216-591-1905
  • Fax: 216-591-1961
Mailing address:
  • Phone: 216-591-1905
  • Fax: 216-591-1961

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number36002473
License Number StateOH

VIII. Authorized Official

Name: RONALD FREIREICH
Title or Position: OWNER
Credential: DPM
Phone: 216-591-1905