FREESTONE EMERGENCY MEDICINE ASSOCIATES PA
NPI 1124057849
Nurse Practitioner in Fairfield, TX

NPI Status: Active since July 03, 2006

Contact Information

125 NEWMAN ST
FAIRFIELD, TX
ZIP 75840
Phone: (800) 893-9698

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  • Organization
  • Nurse Practitioner
  • CLIA Number: 45D0483832
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 09-30-2025

About FREESTONE EMERGENCY MEDICINE ASSOCIATES PA

This page provides the complete NPI Profile along with additional information for Freestone Emergency Medicine Associates Pa, a provider established in Fairfield, Texas operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1124057849 assigned on July 2006. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Freestone Emergency Medicine Associates Pa operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Michael Pawlowski (Ceo)

NPI
1124057849
Provider Name
FREESTONE EMERGENCY MEDICINE ASSOCIATES PA
Entity Type
Organization
Location Address
125 NEWMAN ST FAIRFIELD, TX 75840
Location Phone
(800) 893-9698
Mailing Address
200 CORPORATE BLVD SUITE 201 LAFAYETTE, LA 70508
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-03-2006
Last Update Date
09-11-2025
Code Navigator

A nurse practitioner (NP) like Freestone Emergency Medicine Associates Pa is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207P00000XAllopathic & Osteopathic Physicians

Emergency Medicine

 
2363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL PAWLOWSKI

Authorized Official Title
CEO
Authorized Official Phone
(800) 893-9698

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D0483832
Facility Type
Rural Health Clinic
Certificate Effective Date
October 01, 2023
Certificate Expiration Date
September 30, 2025
Laboratory Director
REBECCA YARBROUGH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Freestone Emergency Medicine Associates Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124057849, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
8
Unchanged
Pos 9
4
Doubled → 8
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 0 → 0 7 → 14 → 5 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 0 + 5 + 1 + 4 + 8 + 8 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1124057849.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

General Acute Care Hospital
125 NEWMAN ST
FAIRFIELD, TX 75840
Emergency Medicine
125 NEWMAN ST
FAIRFIELD, TX 75840
Hospitalist
125 NEWMAN ST
FAIRFIELD, TX 75840
Family Medicine
125 NEWMAN ST
FAIRFIELD, TX 75840
Emergency Medicine
125 NEWMAN ST
FAIRFIELD, TX 75840
Internal Medicine
125 NEWMAN ST
FAIRFIELD, TX 75840
General Acute Care Hospital
125 NEWMAN ST
FAIRFIELD, TX 75840
Emergency Medicine
125 NEWMAN ST
FAIRFIELD, TX 75840
Emergency Medicine
125 NEWMAN ST
FAIRFIELD, TX 75840

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124057849, enumerated as an "organization" on July 03, 2006.

The provider is located at 125 NEWMAN ST FAIRFIELD, TX 75840 and the phone number is (800) 893-9698.

Nurse Practitioner with taxonomy code 363L00000X.