Blake Frieden, MD, PA

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

BLAKE FRIEDEN, MD, PA

Practice address

7777 Forest LN
Suite D-540
Dallas, TX 75230-2505

Phone

(972) 566-7488

Fax

(972) 566-7465

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Blake FriedenNPI 1184644429

Title

Owner/Physician

Phone

(972) 566-7488

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Blake E. Frieden, MD

  • Obstetrics & Gynecology Physician
  • Dallas, TX
  • NPI 1184644429
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311897600000",
    "number": "1205841798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "SUITE D-540",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302505",
            "telephone_number": "972-566-7488",
            "fax_number": "972-566-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "SUITE D-540",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302505",
            "telephone_number": "972-566-7488",
            "fax_number": "972-566-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKE FRIEDEN, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2011-07-29",
        "status": "A",
        "authorized_official_last_name": "FRIEDEN",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "972-566-7488"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Blair, DO
• Kristi Lain Blair, CRNA
• Ronald M Blair, M.D. P.A.
• Zachary Blair, MD
• Blake a. Morrison, MD, PA
• Denease S. Blake-Lamey, PNP
• Brian Kelly Blake, D.O.
• Renee Michelle Blake, D.D.S.
• Robert T Blake, LMSW-IPR
• Wanda Blake

• Gynecology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.