Individual provider Active NPI

Eric G Friess, MD

  • Family Medicine Physician
  • Cleveland, OH
National Provider Identifier
1144338930
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35067824 Issued in OH
Practice address
4242 Lorain Ave
Thomas F. McCafferty Health Center
Cleveland, OH 44113-3715
Phone
(216) 651-3740
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35067824 OH Primary

Addresses

Primary practice location

4242 Lorain Ave
Thomas F. McCafferty Health Center
Cleveland, OH 44113-3715

Mailing address

4242 Lorain Ave
Thomas F. McCafferty Health Center
Cleveland, OH 44113-3715
Phone (216) 651-3740

Other identifiers 1

IdentifierTypeStateIssuer
0313039MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070703000003 OH Practitioner - Family Practice 4880794908 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35067824OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Health Inc CurrentSince Jun 5, 2023 Accepting new patients
Signature Health, Inc. CurrentSince Jun 5, 2023 Accepting new patients

Locations

21100 Southgate Park Blvd
Maple Heights, OH 44137
Phone (216) 663-6100

7232 Justin Way
Mentor, OH 44060
Phone (440) 488-2855

38882 Mentor Ave
Willoughby, OH 44094

38876 Mentor Ave
Willoughby, OH 44094
Phone (440) 954-3333

Interoperability endpoints

  • Direct secure messaging: efriess618795@direct.ochin.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144338930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 LORAIN AVE",
            "address_2": "THOMAS F. MCCAFFERTY HEALTH CENTER",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441133715",
            "telephone_number": "216-651-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 LORAIN AVE",
            "address_2": "THOMAS F. MCCAFFERTY HEALTH CENTER",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441133715",
            "telephone_number": "216-651-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIESS",
        "first_name": "ERIC",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35067824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0313039",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.