Scott Friedman, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

5101009867 Issued in MI

Practice address

17171 Fort St
Riverview, MI 48193

Phone

(734) 282-7266

Fax

(734) 282-0353

NPI assigned

Dec 20, 2006

Last updated

Dec 14, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Dermatology

Education

Michigan State University College of Osteopathic Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wyandotte Hospital and Medical Center Hospital, Wyandotte, MI, CCN 230146
• Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
• McLaren Oakland Hospital, Pontiac, MI, CCN 230207

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cosmetic Dermatology and Vein Centers of Downriver PC

  • Dermatology Physician
  • Riverview, MI
  • NPI 1750494282
  Medicare reassignment NPD Authorized official
• SVC Dermatology PC

  dba Skin and Vein Center

  • Dermatology Physician
  • Fenton, MI
  • NPI 1174565600
  NPD (past)

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

• Henry Ford Wyandotte Hospital

  dba Henry Ford Health Center Brownstown

  • Ambulatory Surgical Clinic/Center
  • Wyandotte, MI
  • NPI 1093901035

  Hospital

  Care Compare affiliation
• Henry Ford Wyandotte Hospital

  • General Acute Care Hospital
  • Wyandotte, MI
  • NPI 1992725352
  Care Compare affiliation
• McLaren Oakland

  • General Acute Care Hospital
  • Pontiac, MI
  • NPI 1376564088
  Care Compare affiliation
• Oakwood Healthcare Inc

  dba Beaumont Outpatient Diabetes Education

  • Community Health Clinic/Center
  • Dearborn, MI
  • NPI 1790414670

  Hospital

  Care Compare affiliation
• Oakwood Healthcare, Inc.

  dba Beaumont Hospital - Dearborn

  • General Acute Care Hospital
  • Dearborn, MI
  • NPI 1740230119
  Care Compare affiliation

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544745600000",
    "number": "1154485811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772081",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482772022",
            "telephone_number": "734-282-7266",
            "fax_number": "734-282-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17171 FORT ST",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "48193",
            "telephone_number": "734-282-7266",
            "fax_number": "734-282-0353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 N Lapeer Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Lake Orion",
            "state": "MI",
            "postal_code": "483624011",
            "country_code": "US",
            "telephone_number": "248-690-7243",
            "fax_number": "248-690-7835",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17171 Fort St",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "MI",
            "postal_code": "48193",
            "country_code": "US",
            "telephone_number": "734-282-7266",
            "fax_number": "734-282-0353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "SCOTT",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2018-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5101009867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154485811",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helen Etemadi, DO
• Family Health PC
• Cristina Natasha Franqui
• Michael Andrew Freedman, DO
• Krista Lauren Broullire Frick, AUD
• Karen Joanne Fron, MPT, OMPT, CLT
• Florence Garcia
• Garry Garcia, PT
• Skye Gasidlo
• GD Mi Riverview PLLC

• Dermatology Physician in Riverview, MI
• Providers in Riverview, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.