NPIMap

Individual provider Active NPI

George J Friedhoff, D.O.

  • Sports Medicine (Internal Medicine) Physician
  • Independence, OH
National Provider Identifier
1043522634
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
License
34-010716 Issued in OH
Practice address
6701 Rockside Rd
Suite 103
Independence, OH 44131-2358
Phone
(216) 369-2800
NPI assigned
Jul 12, 2010
Last updated
Feb 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34.010716 OH
Sports Medicine (Internal Medicine) Physician 207RS0010X 34-010716 OH Primary

Addresses

Primary practice location

6701 Rockside Rd
Suite 103
Independence, OH 44131-2358

Mailing address

PO Box 932127
Cleveland, OH 44193-0008
Phone (216) 369-2800

Other identifiers 1

IdentifierTypeStateIssuer
0079058MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address directrockside@cleveland.ipsmso.com Outreach Professional Services Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130328000593 OH Practitioner - Sports MedicinePractitioner - Internal Medicine 3870738545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Michigan State University College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6701 Rockside Rd
Suite 365
Independence, OH 44131-2316
Phone (216) 363-2556

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
59.13
Promoting interoperability
99
Improvement activities
40
Cost
75.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34-010716OHMDSports Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Outreach Professional Services, Inc CurrentSince Aug 1, 2014 Accepting new patients
Outreach Professional Services Inc Internal Medicine CurrentSince Aug 1, 2014 Accepting new patients
Northern Ohio Medical Specialists LLC Internal Medicine CurrentSince Nov 16, 2022 Accepting new patients
Omt Clinics LLC Current Accepting new patients
Northern Ohio Medical Specialists, LLC CurrentSince Nov 16, 2022 Accepting new patients
Northern Ohio Medical Specialists, LLC Past Accepting new patients

Locations

2475 E 22nd St
Ste 120
Cleveland, OH 44115
Phone (216) 367-9444

6701 Rockside Rd
Ste 103
Independence, OH 44131
Phone (216) 369-2800

6701 Rockside Rd
Ste 365
Independence, OH 44131
Phone (216) 883-6656

300 Allen Bradley Dr
Ste C
Mayfield Heights, OH 44124

6820 Ridge Rd
Parma, OH 44129
Phone (440) 842-1570

6820 Ridge Rd
Ste 100
Parma, OH 44129

3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841

Interoperability endpoints

  • Direct secure messaging: gfriedhoff243153@ehrdirect.uhhospitals.org
  • Direct secure messaging: gfriedhoff29533@nomshealthcare.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1043522634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932127",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930008",
            "telephone_number": "216-369-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 ROCKSIDE RD",
            "address_2": "SUITE 103",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312358",
            "telephone_number": "216-369-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDHOFF",
        "first_name": "GEORGE",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-12",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.010716",
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "OH",
            "license": "34-010716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0079058",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "directrockside@cleveland.ipsmso.com",
            "affiliation": "Y",
            "affiliationName": "Outreach Professional Services Inc",
            "address_1": "6701 Rockside Rd",
            "address_2": "Suite 103",
            "city": "Independence",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441312358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

Verify at the official NPI Registry.