Active NPI
Donald Lorry Freidenberg, DO
- Neurology Physician
- Columbus, OH
National Provider Identifier
1063492601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 34003189
- Practice address
- 2121 Bethel Rd
Suite F
Columbus, OH 43220-1804 - Phone
- (614) 457-3100
- Fax
- (614) 457-3200
- NPI assigned
- Jan 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0586969 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34003189 | OH | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
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.
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390176000000",
"number": "1063492601",
"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": {
"last_name": "FREIDENBERG",
"first_name": "DONALD",
"middle_name": "LORRY",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2014-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OH",
"license": "34003189",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0586969",
"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 20, 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.