Individual provider Active NPI

Marc Phillip Friedman, MD

  • Gastroenterology Physician
  • New Orleans, LA
National Provider Identifier
1093821555
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
011584 Issued in LA
Practice address
3525 Prytania St Ste 430
New Orleans, LA 70115-3591
Phone
(504) 897-7878
Fax
(504) 897-2064
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 011584 LA Primary
Internal Medicine Physician 207R00000X 011584 LA

Addresses

Primary practice location

3525 Prytania St Ste 430
New Orleans, LA 70115-3591

Mailing address

3525 Prytania St
Ste 430
New Orleans, LA 70115
Phone (504) 897-7878

Other practice location 1

3434 Prytania St
Ste 410
New Orleans, LA 70115-3572
Phone (504) 897-7878

Other identifiers 1

IdentifierTypeStateIssuer
1797537MedicaidLA

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 Medicine

State licenses

LicenseStateTypeSpecialty
011584LAMDGastroenterology Physician

Interoperability endpoints

  • Direct secure messaging: mfriedman@imsno.directbygreenway.com

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1093821555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 PRYTANIA ST",
            "address_2": "STE 430",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70115",
            "telephone_number": "504-897-7878",
            "fax_number": "504-897-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 PRYTANIA ST STE 430",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153591",
            "telephone_number": "504-897-7878",
            "fax_number": "504-897-2064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3434 Prytania St",
            "address_2": "Ste 410",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701153572",
            "country_code": "US",
            "telephone_number": "504-897-7878",
            "fax_number": "504-897-7850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "MARC",
        "middle_name": "PHILLIP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "LA",
            "license": "011584",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "011584",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1797537",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.