Active NPI
Roger Lee Friedman, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Sheffield Village, OH
National Provider Identifier
1205899887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 36002311
- 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, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750564845 | Other | OH | ORGANIZATIONAL 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
| License | State | Type | Specialty |
|---|---|---|---|
| 36002311 | OH | MD | Foot & Ankle Surgery Podiatrist |
| 2311 | OH | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roger L. Friedman | Foot & Ankle Surgery | Past | 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.
-
dba Advance Foot-Care and Laser Center
- Foot & Ankle Surgery Podiatrist
- Sheffield Village, OH
- NPI 1538613153
-
dba Advanced Foot Care and Laser Center
- Foot & Ankle Surgery Podiatrist
- Sheffield Village, OH
- NPI 1750564845
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.