Organization Active NPI

Marsha a. Friedrich MD

  • Specialist
  • Shreveport, LA
National Provider Identifier
1114187713
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
016827 Issued in LA
Legal business name
MARSHA A. FRIEDRICH MD
Practice address
1801 Fairfield Ave
Suite 207
Shreveport, LA 71101-4443
Phone
(318) 221-8395
Fax
(318) 424-2826
NPI assigned
Jun 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. Marsha Albritton Friedrich, M.D
Title
MD/Owner
Phone
(318) 221-8395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 016827 LA Primary

Addresses

Primary practice location

1801 Fairfield Ave
Suite 207
Shreveport, LA 71101-4443

Mailing address

1801 Fairfield Ave
Suite 207
Shreveport, LA 71101-4443
Phone (318) 221-8395

Other identifiers 1

IdentifierTypeStateIssuer
1359831MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1114187713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 FAIRFIELD AVE",
            "address_2": "SUITE 207",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014443",
            "telephone_number": "318-221-8395",
            "fax_number": "318-424-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 FAIRFIELD AVE",
            "address_2": "SUITE 207",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014443",
            "telephone_number": "318-221-8395",
            "fax_number": "318-424-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHA A. FRIEDRICH MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "FRIEDRICH",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "ALBRITTON",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "318-221-8395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "016827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1359831",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.