MEDICARE: FREEMAN ANESTHESIA PC

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	367500000X	Certified Registered Nurse Anesthetist	0471	NE

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DG0389	OTHER	NE	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457414450
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FREEMAN ANESTHESIA PC

Provider Business Mailing Address
First Line	:	905 W ELKHORN ST
Second Line	:
City	:	PIERCE
State	:	NE
Zip	:	68767-1126
Country	:	US
Telephone Number	:	605-335-1952
Fax Number	:	605-373-9971

Provider Business Practice Location Address
First Line	:	3772 43RD AVE STE B
Second Line	:
City	:	COLUMBUS
State	:	NE
Zip	:	68601-1681
Country	:	US
Telephone Number	:	402-329-4027
Fax Number	:

Authorized Official
Title or Position	:	OWNDER/CRNA
Name	:	LISA D FREEMAN
Credential	:	CRNA
Telephone Number	:	605-977-2767

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	06/25/2020

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Directions to “FREEMAN ANESTHESIA PC ” Practice Location

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