Martin B Fried, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD020746E Issued in PA

Practice address

490 Northampton St
Gateway Suite 1
Edwardsville, PA 18704-4551

Phone

(570) 288-8100

Fax

(570) 288-7987

NPI assigned

May 3, 2006

Last updated

Aug 31, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• The Endoscopy Center at Gateway LLC

  • Ambulatory Surgical Clinic/Center
  • Edwardsville, PA
  • NPI 1508942665
  NPD (past) Authorized official
• Gastroenterology Consultants Inc

  • Gastroenterology Physician
  • Edwardsville, PA
  • NPI 1881621027
  NPD

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1205894862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 NORTHAMPTON ST",
            "address_2": "GATEWAY SUITE 1",
            "city": "EDWARDSVILLE",
            "state": "PA",
            "postal_code": "187044551",
            "telephone_number": "570-288-8100",
            "fax_number": "570-288-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 NORTHAMPTON ST",
            "address_2": "GATEWAY SUITE 1",
            "city": "EDWARDSVILLE",
            "state": "PA",
            "postal_code": "187044551",
            "telephone_number": "570-288-8100",
            "fax_number": "570-288-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIED",
        "first_name": "MARTIN",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD020746E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER #",
            "identifier": "027970",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Dukehart
• Edwardsville Volunteer Firemens Community Ambulance Association
• Eva Ofcharsky (That Special Woman)
• Katherine Mary Field, MS, OTR/L
• Forlenza's Pharmacy (Forlenza's Nutritional-Wellness Center and Compounding Pharmacy)
• Marisa Alice Fronczkiewicz, B.S.
• Janelle Gaiteri
• Gastroenterology Consultants Inc
• Gateway Surgery Center LLC
• Holi Susan Heffron, OTR/L WCC CMLDT

• Gastroenterology Physician in Edwardsville, PA
• Providers in Edwardsville, PA by specialty
• Gastroenterology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.