Physician Compare National (NPI:1417957259)

HEALTHCARE PROVIDER: GEORGE EDWARD FREEMAN D.O.

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

Individual Professional Information
NPI	1417957259
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3274601315
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20081002000566
	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	GEORGE
	Individual professional first name
Provider Middle Name	E
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	1993
	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	1425 E LINCOLN RD
	Group Practice or individual's line 1 address
Line 2 Street Address	B1
	Group Practice or individual's line 2 address
City	IDABEL
	Group Practice or individual's city
State	OK
	Group Practice or individual's state
Zip Code	747457345
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	371342
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450801
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CHRISTUS ST MICHAEL HEALTH SYSTEM
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y