Individual provider Active NPI

Roger Lee Friedman, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Sheffield Village, OH
National Provider Identifier
1205899887
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36002311 Issued in OH
Practice address
5321 Meadow Lane CT
Suite 22
Sheffield Village, OH 44035-0600
Phone
(440) 934-8444
Fax
(440) 934-8447
NPI assigned
Apr 6, 2006
Last updated
Sep 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 36002311 OH Primary
Foot Surgery Podiatrist 213ES0131X 36002311 OH

Addresses

Primary practice location

5321 Meadow Lane CT
Suite 22
Sheffield Village, OH 44035-0600

Mailing address

5321 Meadow Lane CT
Suite 22
Sheffield Village, OH 44035-0600
Phone (440) 934-8444

Other identifiers 1

IdentifierTypeStateIssuer
1750564845OtherOHORGANIZATIONAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36002311OHMDFoot & Ankle Surgery Podiatrist
2311OHMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Roger L. Friedman Foot & Ankle Surgery PastSince Jul 1, 1986 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1205899887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5321 MEADOW LANE CT",
            "address_2": "SUITE 22",
            "city": "SHEFFIELD VILLAGE",
            "state": "OH",
            "postal_code": "440350600",
            "telephone_number": "440-934-8444",
            "fax_number": "440-934-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 MEADOW LANE CT",
            "address_2": "SUITE 22",
            "city": "SHEFFIELD VILLAGE",
            "state": "OH",
            "postal_code": "440350600",
            "telephone_number": "440-934-8444",
            "fax_number": "440-934-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "ROGER",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36002311",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "OH",
            "license": "36002311",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATIONAL NPI",
            "identifier": "1750564845",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheffield Village, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.