Organization Active NPI

Donald L Freidenberg

  • Neurology Physician
  • Columbus, OH
National Provider Identifier
1023230455
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
34003189 Issued in OH
Legal business name
DONALD L FREIDENBERG
Practice address
2121 Bethel Rd
Suite F
Columbus, OH 43220-1804
Phone
(614) 457-3100
Fax
(614) 457-3200
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Donald L Freidenberg, DONPI 1063492601
Title
Owner
Phone
(614) 457-3100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 34003189 OH Primary

Addresses

Primary practice location

2121 Bethel Rd
Suite F
Columbus, OH 43220-1804

Mailing address

2121 Bethel Rd
Suite F
Columbus, OH 43220-1804
Phone (614) 457-3100

Other identifiers 1

IdentifierTypeStateIssuer
2921940MedicaidOH

National Provider Directory

National Provider Directory

Locations

2121 Bethel Rd
Ste F
Columbus, OH 43220
Phone (614) 457-3100

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1023230455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 BETHEL RD",
            "address_2": "SUITE F",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432201804",
            "telephone_number": "614-457-3100",
            "fax_number": "614-457-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 BETHEL RD",
            "address_2": "SUITE F",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432201804",
            "telephone_number": "614-457-3100",
            "fax_number": "614-457-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD L FREIDENBERG",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "FREIDENBERG",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-457-3100",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "34003189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2921940",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.