Mark S Friedland MD PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

MF064335 Issued in MI

Legal business name

MARK S FRIEDLAND MD PC

Practice address

44199 Dequindre Rd
623
Troy, MI 48085-1128

Phone

(248) 828-5707

Fax

(248) 828-5702

NPI assigned

Jun 6, 2007

Last updated

Oct 30, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Friedland, M.D.

Title

President

Phone

(248) 828-5707

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark S Friedland MD PC, MD

  • Vascular Surgery Physician
  • Troy, MI
  • NPI 1093799637
  Medicare reassignment NPD

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1174726434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44199 DEQUINDRE RD",
            "address_2": "623",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851128",
            "telephone_number": "248-828-5707",
            "fax_number": "248-828-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44199 DEQUINDRE RD",
            "address_2": "623",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851128",
            "telephone_number": "248-828-5707",
            "fax_number": "248-828-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK S FRIEDLAND MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "FRIEDLAND",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-828-5707",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MI",
            "license": "MF064335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0633267",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4634304",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Mardo
• Jodi Marini, RN
• Kyrstina Hudson Mariouw, PH.D
• Mark J. Scapini, M.D., P.L.L.C.
• Mark P Koniuch MD PC
• Mark Schare PC
• Mark Zohoury
• Kristina Marki
• Sarah Markiewicz, PA
• Chad Marks, LPC

• Vascular Surgery Physician in Troy, MI
• Providers in Troy, MI by specialty
• Vascular Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.