DR. DAVID STEPHEN FREITAG M.D. NPI 1053387050

NPI Information

NPI: 1053387050
Provider Name: DR. DAVID STEPHEN FREITAG, M.D.
Classification: Dermatology - 207ND0101X
Entity Type: Individual

Specialization: MOHS-Micrographic Surgery

Address:
26800 S TAMIAMI TRL
SUITE 360
BONITA SPRINGS, FL
ZIP 34134
Phone: (239) 495-1234
Get Directions

DR. David Stephen Freitag, M.D. is a mohs-micrographic surgery dermatology in Bonita Springs, FL. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. DR. David Stephen Freitag, M.D. NPI is 1053387050. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

26800 S TAMIAMI TRL
SUITE 360
BONITA SPRINGS, FL
ZIP 34134-349
Phone: (239) 495-1234
Fax: (239) 495-2345

The enumeration date for this NPI number is 2/28/2006 and was last updated on 3/18/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207ND0101X	Dermatology	MOHS-Micrographic Surgery	101044482	VIRGINIA	No
2	207ND0101X	Dermatology	MOHS-Micrographic Surgery	MD60147325	WASHINGTON	No
3	207ND0101X	Dermatology	MOHS-Micrographic Surgery	ME103242	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	E23139	MEDICARE UPIN
2	145AU	OTHER	FLORIDA	BCBS
3	G00412-000Z29S12	MEDICARE ID-TYPE UNSPECIFIED
4	004044200	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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