MEDICARE: THOMAS ROBERT FREIJE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	208000000X	Pediatrics Physician	01087850A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	068010820	OTHER	IN	MEDICARE PTAN
4	264430E82	OTHER	IN	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	1003379090	OTHER	IN	ANTHEM PTAN
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003379090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS ROBERT FREIJE MD

Provider Business Mailing Address
First Line	:	11530 ALLISONVILLE RD STE 190
Second Line	:
City	:	FISHERS
State	:	IN
Zip	:	46038-1862
Country	:	US
Telephone Number	:	463-251-3937
Fax Number	:	317-222-2332

Provider Business Practice Location Address
First Line	:	11530 ALLISONVILLE RD STE 190
Second Line	:
City	:	FISHERS
State	:	IN
Zip	:	46038-1862
Country	:	US
Telephone Number	:	463-251-3937
Fax Number	:	317-222-2332

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2019
Last Update Date	:	05/17/2024

Similar Medicare Providers

1801727524 — BEEKOLARI BABATUNDE
Practice Location Address:

11530 ALLISONVILLE RD STE 100
FISHERS, IN
46038-1862

Practice Phone: 317-742-9730
Practice Fax:

1467426239 — DR. DAVID P PLETZER MD
Practice Location Address:

11530 ALLISONVILLE ROAD , STE 190
FISHERS, IN
46038-1862

Practice Phone: 317-678-3850
Practice Fax:

1891853644 — MRS. SUE ELLYN NOTTINGHAM FNP
Practice Location Address:

11530 ALLISONVILLE RD STE 100
FISHERS, IN
46038-1862

Practice Phone: 317-415-5900
Practice Fax:

1356838064 — JENNIFER SIMMONS
Practice Location Address:

11530 ALLISONVILLE RD STE 190
FISHERS, IN
46038-1862

Practice Phone: 317-678-3850
Practice Fax: 317-968-1142

1649963364 — KRISH LYNNE BONEBRAKE FNP-C
Practice Location Address:

11530 ALLISONVILLE RD STE 155
FISHERS, IN
46038-1862

Practice Phone: 317-739-4243
Practice Fax:

1336918242 — ELYSE REINA DEL GIUDICE FNP-BC
Practice Location Address:

11530 ALLISONVILLE RD STE 155
FISHERS, IN
46038-1862

Practice Phone: 317-739-4243
Practice Fax:

Directions to “ THOMAS ROBERT FREIJE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.