NPIMap

Individual provider Active NPI

Gordon W Fried, D.O.

  • Interventional Cardiology Physician
  • East Stroudsburg, PA
National Provider Identifier
1134126840
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
OS007213E Issued in PA
Practice address
200 Plaza CT
Suite C
East Stroudsburg, PA 18301-8259
Phone
(570) 424-9952
Fax
(570) 424-0768
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X OS-007213-E PA
Interventional Cardiology Physician 207RI0011X OS007213E PA Primary

Addresses

Primary practice location

200 Plaza CT
Suite C
East Stroudsburg, PA 18301-8259

Mailing address

200 Plaza CT
Suite C
East Stroudsburg, PA 18301-8259
Phone (570) 424-5592

Other identifiers 5

IdentifierTypeStateIssuer
0012090750005MedicaidPA
0457628OtherPAAETNA
232725862OtherPAALL OTHER INS
075227OtherPA1ST PRIORITY
2101332OtherPAGHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071106000017 PA Practitioner - Cardiovascular Disease (Cardiology) 4183711385 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
New York College of Osteo Medicine of New York Institute of Technology, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

100 Community Dr
Suite 102
Tobyhanna, PA 18466-8986
Phone (570) 839-8754

1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888

200 E Brown St
LVPG Family Medicine Esu
East Stroudsburg, PA 18301-3006
Phone (272) 762-4378

200 Plaza CT
Suite C
East Stroudsburg, PA 18301-8259
Phone (570) 424-9952

200 Plaza CT C
East Stroudsburg, PA 18301-8259

206 E Brown St
East Stoudsburg, PA 18301-3006

3780 Hecktown Rd
Easton, PA 18045-2355
Phone (610) 333-8888

3794 Hecktown Rd
Easton, PA 18045-2355

5649 Wynnewood Dr
Laurys Station, PA 18059-1124

600 Commerce Blvd
Stroudsburg, PA 18360-6214
Phone (570) 424-7390

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
27.27 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
90.9

Merit-based Incentive Payment System (MIPS)

Final score
81.09 of 100Reported as group
Quality
74.47
Promoting interoperability
86
Improvement activities
40
Cost
74.16

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS-007213-EPAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Centers Inc. CurrentSince Dec 29, 2015 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Family Care Centers Inc CurrentSince Dec 29, 2015 Accepting new patients
Pocono Cardiology Associates, PC CurrentSince Aug 8, 1990 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 1, 2025 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 1, 2025 Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

200 Plaza Ct
Ste C
East Stroudsburg, PA 18301
Phone (570) 424-9952

500 Plaza Ct
Ofc Plz
East Stroudsburg, PA 18301
Phone (570) 420-2188

500 Plaza Ct
Ste A
East Stroudsburg, PA 18301
Phone (570) 424-9970

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

200 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 420-6220

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

Organizations & group practices 7

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240963200000",
    "number": "1134126840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PLAZA CT",
            "address_2": "SUITE C",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018259",
            "telephone_number": "570-424-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PLAZA CT",
            "address_2": "SUITE C",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018259",
            "telephone_number": "570-424-9952",
            "fax_number": "570-424-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIED",
        "first_name": "GORDON",
        "middle_name": "W",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2009-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "OS-007213-E",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "OS007213E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012090750005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0457628",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL OTHER INS",
            "identifier": "232725862",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1ST PRIORITY",
            "identifier": "075227",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2101332",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.