Jeffry Scott Freeman, PA
Physician Assistant in Portage, MI. Individual provider (NPI-1).
NPI number1285745950
StatusActive
Last updated in NPPESJun 3, 2014
Details
- NPI
- 1285745950
- Entity type
- Individual (NPI-1)
- Name
- Jeffry Scott Freeman
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2006
- Last updated
- Jun 3, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5601003249 | MI | Yes |
Practice location
3000 Old Centre RdPortage, MI 49024-4883
Phone 269-321-7546 · Fax 269-321-1705
Mailing address
3000 Old Centre RdPortage, MI 49024-4883
Phone 269-321-7546 · Fax 269-321-1705
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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