Provider Demographics
NPI:1134864085
Name:FREEDOM MEDICAL MD
Entity type:Organization
Organization Name:FREEDOM MEDICAL MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:SLOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-889-9104
Mailing Address - Street 1:5889 ROLLINGSFJORD DR
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TWP
Mailing Address - State:OH
Mailing Address - Zip Code:45011-9371
Mailing Address - Country:US
Mailing Address - Phone:513-889-9104
Mailing Address - Fax:
Practice Address - Street 1:7665 MONARCH CT STE 106B
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-2484
Practice Address - Country:US
Practice Address - Phone:513-889-9104
Practice Address - Fax:513-755-3700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-04
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care