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

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.

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

LicenseStateTypeSpecialty
35060691OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Pediatrics Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0103140MedicaidOH

Other providers in Shaker HTS, OH

All providers in Shaker HTS, OH · Pediatrics Physician in Ohio

Sources for this page

Verify at the official NPI Registry.