Active NPI
Charles R Friend, D.O.
- Family Medicine Physician
- Crawfordsville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 02001804A
- Practice address
- 1640 Crawfordsville Square Dr
Crawfordsville, IN 47933-3800 - Phone
- (765) 362-5789
- Fax
- (765) 362-2453
- NPI assigned
- Jul 28, 2006
- Last updated
- Aug 9, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS10246 | FL | |
| Family Medicine Physician | 207Q00000X | 02001804A | IN | Primary |
Addresses
Primary practice location
1640 Crawfordsville Square Dr
Crawfordsville, IN 47933-3800
Mailing address
PO Box 781076
Detroit, MI 48278-3833
Phone (317) 528-4800
Other practice location 1
3480 Deltona Blvd
Spring Hill, FL 34606-2917
Phone (352) 600-7900
Other practice location 2
5429 Commercial Way
Spring Hill, FL 34606-1110
Phone (352) 600-4390
Other practice location 3
5446 Land O Lakes Blvd
Land O Lakes, FL 34639-3413
Phone (813) 461-7180
Other practice location 4
6719 Gall Blvd Ste 206
Zephyrhills, FL 33542-2569
Phone (813) 708-6990
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000371599 | Other | IN | ANTHEM |
| 280728900 | Medicaid | FL | |
| 14150 | Other | FL | BCBS |
| P01368092 | Other | IN | RAIL ROAD MEDICARE |
| 000000891732 | Other | IN | ANTHEM |
| 200528320 | Medicaid | IN | |
| 201246920 | Medicaid | IN | |
| 5517084 | Other | FL | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1640 Crawfordsville Square Dr
Crawfordsville, IN 47933-3800
Phone (765) 362-5789
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS10246 | FL | MD | Family Medicine Physician |
| 02001804A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Physician Network | Family Medicine | Current | Accepting new patients |
| Phoenix American Medical LLC | Current | Accepting new patients | |
| Pritesh & Tarak P a | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients | |
| Indianapolis Osteopathic Hospital Inc. | Family Medicine | Past | Accepting new patients |
| North Okaloosa Clinic Corp | Family Medicine | Past | Accepting new patients |
| Optumcare Florida Ci, LLC | Past | Accepting new patients | |
| Northwest Florida Primary Care LLC | Past | Accepting new patients | |
| Patel Surgery LLC | Past | Accepting new patients |
Locations
18928 N Dale Mabry Hwy
Ste 101
Lutz, FL 33548
Phone (813) 909-1146
8623 Regency Park Blvd
Port Richey, FL 34668
Phone (727) 842-9861
14690 Spring Hill Dr
Ste 101
Spring Hill, FL 34609
14690 Spring Hill Dr
Ste 305
Spring Hill, FL 34609
Phone (352) 277-5348
1030 S 78th St
Tampa, FL 33619
Phone (813) 740-0635
13305 N 56th St
Tampa, FL 33617
Phone (813) 988-1101
6719 Gall Blvd
Ste 206
Zephyrhills, FL 33542
Phone (813) 708-6990
1640 Crawfordsville Square Dr
Crawfordsville, IN 47933
Phone (765) 359-1113
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HCACBD
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1649784489
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
-
dba Westview Hospital Physicians
- Family Medicine Physician
- Indianapolis, IN
- NPI 1366589467
-
- Hospitalist Physician
- Niceville, FL
- NPI 1740429679
-
- Primary Care Clinic/Center
- Winter Park, FL
- NPI 1720506603
-
- Surgery Physician
- Spring Hill, FL
- NPI 1750199311
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Crawfordsville, IN
- NPI 1588774558
-
dba Franciscan St. Elizabeth Health
- General Acute Care Hospital
- Lafayette, IN
- NPI 1356435341
-
dba Franciscan Home Care
- Home Health Agency
- Lafayette, IN
- NPI 1619970134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1184638868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482783833",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 CRAWFORDSVILLE SQUARE DR",
"city": "CRAWFORDSVILLE",
"state": "IN",
"postal_code": "479333800",
"telephone_number": "765-362-5789",
"fax_number": "765-362-2453"
}
],
"practiceLocations": [
{
"address_1": "3480 Deltona Blvd",
"address_purpose": "LOCATION",
"city": "Spring Hill",
"state": "FL",
"postal_code": "346062917",
"country_code": "US",
"telephone_number": "352-600-7900",
"fax_number": "352-600-8994",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5429 Commercial Way",
"address_purpose": "LOCATION",
"city": "Spring Hill",
"state": "FL",
"postal_code": "346061110",
"country_code": "US",
"telephone_number": "352-600-4390",
"fax_number": "352-600-4394",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5446 Land O Lakes Blvd",
"address_purpose": "LOCATION",
"city": "Land O Lakes",
"state": "FL",
"postal_code": "346393413",
"country_code": "US",
"telephone_number": "813-461-7180",
"fax_number": "813-461-7182",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6719 Gall Blvd Ste 206",
"address_purpose": "LOCATION",
"city": "Zephyrhills",
"state": "FL",
"postal_code": "335422569",
"country_code": "US",
"telephone_number": "813-708-6990",
"fax_number": "813-537-8762",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRIEND",
"first_name": "CHARLES",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS10246",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "02001804A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000371599",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "280728900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "14150",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P01368092",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000891732",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200528320",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201246920",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5517084",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crawfordsville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.