Individual provider Active NPI

Eric T Friedland, M.D.

  • Emergency Medicine Physician
  • Bellevue, WA
National Provider Identifier
1265471817
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD00034032 Issued in WA
Practice address
1035 116TH Ave NE
Bellevue, WA 98004-4604
Phone
(425) 688-5000
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MC-1150 ID
Emergency Medicine Physician 207P00000X MD00034032 WA Primary

Addresses

Primary practice location

1035 116TH Ave NE
Bellevue, WA 98004-4604

Mailing address

PO Box 34960
Seattle, WA 98124-1960
Phone (425) 656-4255

Other practice location 1

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-4017

Other identifiers 1

IdentifierTypeStateIssuer
8231284MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, HI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050321000092 WA Practitioner - Emergency Medicine 1951378306 Reassigns benefits to 3 organizations
I20221104001892 HI Practitioner - Emergency Medicine 1951378306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Washington School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunnyside Emergency Group a Professional LLCGroup PAC ID 0941424451, 17 clinicians

Practice addresses (Care Compare)

1016 Tacoma Ave
Sunnyside, WA 98944-2263
Phone (509) 837-1707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sunnyside Emergency Group a Professional LLC Emergency Medicine CurrentSince Apr 23, 2022 Accepting new patients
Public Hospital District No 1 of Mason County CurrentSince Mar 1, 2021 Accepting new patients
Public Hospital District No 1 of Mason County Wa CurrentSince Mar 1, 2021 Accepting new patients
Public Hospital District No 1 of Mason County Current Accepting new patients
Olney Emergency Group, a Professional LLC Emergency Medicine CurrentSince Oct 1, 2021 Accepting new patients
Maui Memorial Emergency Medical Associates Inc Emergency Medicine CurrentSince Sep 1, 2022 Accepting new patients
Overlake Medical Clinics LLC Past Accepting new patients

Locations

221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290

901 Mountain View Dr
Shelton, WA 98584
Phone (360) 426-1611

1016 Tacoma Ave
Sunnyside, WA 98944
Phone (509) 823-6682

502 W 4th Ave
Toppenish, WA 98948
Phone (509) 575-5000

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1265471817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34960",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241960",
            "telephone_number": "425-656-4255",
            "fax_number": "425-656-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 116TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044604",
            "telephone_number": "425-688-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2003 Kootenai Health Way",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838146051",
            "country_code": "US",
            "telephone_number": "208-625-4017",
            "fax_number": "208-625-5732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIEDLAND",
        "first_name": "ERIC",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ID",
            "license": "MC-1150",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD00034032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8231284",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.