Physician Compare National (NPI:1073502829)

HEALTHCARE PROVIDER: RUTH A. FREEMAN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1073502829
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9436342300
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101023000166
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FREEMAN
	Individual professional last name
Provider First Name	RUTH
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	HOWARD UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1908 201ST PL SE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 100
	Group Practice or individual's line 2 address
City	BOTHELL
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	980128572
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	500026
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SWEDISH EDMONDS HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	500014
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PROVIDENCE REGIONAL MEDICAL CENTER EVERETT
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y