Active NPI
Samuel Elias Friedman, M.D.
- Diagnostic Radiology Physician
- Columbia, SC
National Provider Identifier
1265480495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 14841
- Practice address
- 1519 Marion St
Columbia, SC 29220-0001 - Phone
- (803) 296-5513
- Fax
- (803) 296-3076
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | 14841 | SC | |
| Diagnostic Radiology Physician | 2085R0202X | 14841 | SC | Primary |
Addresses
Primary practice location
1519 Marion St
Columbia, SC 29220-0001
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148414 | Medicaid | SC |
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
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winfield Family & Occupational Med PC | Current | Accepting new patients | |
| Providence Orthopaedic Group LLC | Past | Accepting new patients | |
| Nimco L.L.C | Past | Accepting new patients |
Locations
191 Carraway Dr
Ste A
Winfield, AL 35594
Phone (205) 487-1586
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.
-
- Family Medicine Physician
- Winfield, AL
- NPI 1144331356
-
- Orthopaedic Surgery Physician
- Columbia, SC
- NPI 1255308342
-
- Other Specialist/Technologist
- Atlanta, GA
- NPI 1982857710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623024000000",
"number": "1265480495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1519 MARION ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292200001",
"telephone_number": "803-296-5513",
"fax_number": "803-296-3076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDMAN",
"first_name": "SAMUEL",
"middle_name": "ELIAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2021-06-07",
"certification_date": "2021-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "SC",
"license": "14841",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "SC",
"license": "14841",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "148414",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.