Deborah B Friedman, MD
Individual provider Active NPI Pediatrics Physician · Shaker HTS, OH
NPI 1083719595 · NPPES record last updated Sep 18, 2012
Key facts
- NPI
- 1083719595
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 35060691 (OH)
- Practice address
- 3461 Warrensville Center Rd Ste 105
Shaker HTS, OH 44122-5227 - Phone
- (216) 383-0100
- Fax
- (216) 383-6481
- NPI assigned
- Sep 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35060691 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Primary Care Practices | Pediatrics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35060691 | OH | Yes |
Addresses
Primary practice location
3461 Warrensville Center Rd Ste 105
Shaker HTS, OH 44122-5227
Mailing address
PO Box 74606
Cleveland, OH 44194-0689
Phone (440) 349-4714
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0103140 | Medicaid | OH |
Other providers in Shaker HTS, OH
- Devon A Fegen-Herdman
- Irina Fishzon
- Ralph Fletcher
- Frances S Baker, PHD Inc
- Alan Friedman
- Mechele Denise Frierson
- Sheila E. Gardner
- Dayah Garrett
- Yuliia Gorbunova
- Jotoya L Gray
All providers in Shaker HTS, OH · Pediatrics Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.