Active NPI
Mari E. Friedman, P.A.
- Physician Assistant
- Indianapolis, IN
National Provider Identifier
1215291943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10001807A
- Practice address
- 10465 E County Road 100 N
Indianapolis, IN 46234-1243 - Phone
- (317) 926-3739
- NPI assigned
- Jun 27, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10001807A | IN | Primary |
Addresses
Primary practice location
10465 E County Road 100 N
Indianapolis, IN 46234-1243
Mailing address
875 Airport Pkwy
Greenwood, IN 46143-1085
Phone (317) 926-3739
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10001807A | Other | IN | INDIANA LICENSING ENTERPRISE |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients | |
| Advanced Pediatric Specialists LLC | Past | Accepting new patients | |
| Georgia Emergency Associates Immediate Care Center | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Pediatrics Physician
- Savannah, GA
- NPI 1073046397
-
- General Practice Physician
- Bluffton, SC
- NPI 1699147421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1215291943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 AIRPORT PKWY",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461431085",
"telephone_number": "317-926-3739",
"fax_number": "317-921-7478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10465 E COUNTY ROAD 100 N",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462341243",
"telephone_number": "317-926-3739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDMAN",
"first_name": "MARI",
"middle_name": "E.",
"name_prefix": "Mrs.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-27",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10001807A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIANA LICENSING ENTERPRISE",
"identifier": "10001807A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.