Active NPI
Andrew Marc Friede, MD, MPH
- Addiction Medicine (Preventive Medicine) Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Preventive Medicine) Physician
- License
- 35882
- Practice address
- 111 SW 5TH Ave
Portland, OR 97204-3604 - Phone
- (260) 577-2266
- NPI assigned
- Feb 26, 2019
- Last updated
- May 11, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | 35882 | AL | |
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | 35882 | AL | Primary |
| Obesity Medicine (Preventive Medicine) Physician | 2083B0002X | 35882 | AL |
Addresses
Primary practice location
111 SW 5TH Ave
Portland, OR 97204-3604
Mailing address
800 NW Powhatan Ter
Portland, OR 97210-2733
Phone (260) 577-2266
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12345 | Other | PLACEHOLDER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Addiction Medicine
- Education
- Johns Hopkins University School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
111 SW 5TH Ave
Suite 3150
Portland, OR 97204-3656
Phone (260) 557-2266
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35882 | AL | MD | Public Health & General Preventive Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aletheia House, Inc. | Current | Accepting new patients | |
| Signify Health, LLC | Current | Accepting new patients | |
| Kolbe Clinic LLC | Current | Accepting new patients | |
| Bluestone Clinic LLC | Public Health & General Preventive Medicine | Current | Accepting new patients |
| SVPS Psychiatric Services LLC | Past | Accepting new patients |
Locations
2201 Arlington Ave
Bessemer, AL 35020
Phone (205) 277-6878
4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280
109 Foothills Pkwy
Ste 113
Chelsea, AL 35043
Phone (205) 451-9742
1830 Montclair Rd
Ste A
Irondale, AL 35210
Phone (205) 775-0300
111 SW 5th Ave
Ste 3150
Portland, OR 97204
Phone (253) 300-8453
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- https://api.platform.athenahealth.com/15655/brand/1/csg/1/fhir/r4
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.
-
dba The Bluestone Clinic
- Public Health & General Preventive Medicine Physician
- Portland, OR
- NPI 1962192922
-
dba Bessemer Neighborhood Health Center
- Family Nurse Practitioner
- Bessemer, AL
- NPI 1003270430
-
- Psychiatry Physician
- Chelsea, AL
- NPI 1841675865
-
- Community/Behavioral Health Agency
- Atlanta, GA
- NPI 1083974265
-
- Psychiatry Physician
- Birmingham, AL
- NPI 1447528591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683763200000",
"number": "1063979060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 NW POWHATAN TER",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102733",
"telephone_number": "260-577-2266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 SW 5TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972043604",
"telephone_number": "260-577-2266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDE",
"first_name": "ANDREW",
"middle_name": "MARC",
"credential": "MD, MPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-26",
"last_updated": "2023-05-11",
"certification_date": "2023-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "AL",
"license": "35882",
"primary": false
},
{
"code": "2083A0300X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Addiction Medicine",
"state": "AL",
"license": "35882",
"primary": true
},
{
"code": "2083B0002X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Obesity Medicine",
"state": "AL",
"license": "35882",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PLACEHOLDER",
"identifier": "12345",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.