NPI age
13 years
Enumerated 2013-05-03
● Active Type 2 · Organization
Mark E Freeman MD Pc
Mark E Freeman MD Pc is 1 of 24 plastic surgery organizations in Idaho.
Primary specialty
Plastic Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Davenport
Billing
Last NPPES update
2013-05-03
Source: monthly bulk 2026-05
How this organization compares
Across 24 active plastic surgery providers in Idaho.
NPI age
13 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2013 → 2026
2013-05Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
3760 Washington Pkwy
Idaho Falls, ID 834047593
Mailing address
3760 Washington Pkwy
Idaho Falls, ID 834047593
Authorized official
Katie Davenport
Billing
📞 2085202636
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Michael Hartley, LCSW Social Worker NPI 1700995909
- Kierstin Nebeker, DNP Nurse Practitioner NPI 1760720064
- Angelina Norton, ACADC, MSW Counselor NPI 1891928602
- Richard Troyer, LCPC Counselor NPI 1033158613
- Kristopher Walton, LCSW Social Worker NPI 1851332464
Specialties
-
Plastic Surgery PrimaryA plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external...
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.