Active NPI
Mark Charles Friedman, M.D.
- Gastroenterology Physician
- Harrisburg, PA
National Provider Identifier
1033197587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD020602E
- Practice address
- 4760 Union Deposit Rd
Suite100
Harrisburg, PA 17111-3744 - Phone
- (717) 545-9811
- Fax
- (717) 545-1873
- NPI assigned
- Jan 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD020602E | PA | Primary |
Addresses
Primary practice location
4760 Union Deposit Rd
Suite100
Harrisburg, PA 17111-3744
Mailing address
4760 Union Deposit Rd
Suite 100
Harrisburg, PA 17111-3744
Phone (717) 545-9811
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007414400002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD020602E | PA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harrisburg Gastroenterology, LTD. | Gastroenterology | Current | Accepting new patients |
Locations
4760 Union Deposit Rd
Harrisburg, PA 17111
Phone (717) 545-8525
4760 Union Deposit Rd
Ste 100
Harrisburg, PA 17111
Phone (717) 545-9811
Interoperability endpoints
- mark.friedman@hg.eclinicaldirectplus.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Gastroenterology Physician
- Harrisburg, PA
- NPI 1639121809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360540800000",
"number": "1033197587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4760 UNION DEPOSIT RD",
"address_2": "SUITE 100",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171113744",
"telephone_number": "717-545-9811",
"fax_number": "717-545-1873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4760 UNION DEPOSIT RD",
"address_2": "SUITE100",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171113744",
"telephone_number": "717-545-9811",
"fax_number": "717-545-1873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDMAN",
"first_name": "MARK",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-05",
"last_updated": "2013-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "PA",
"license": "MD020602E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007414400002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.