Active NPI
Karl R. Friedmann, M.D.
- Family Medicine Physician
- Old Lyme, CT
National Provider Identifier
1285956987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 010369
- Practice address
- 40 Coult Lane
Old Lyme, CT 06371 - Phone
- (860) 434-2783
- Fax
- (860) 434-2783
- NPI assigned
- Feb 22, 2010
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 010369 | CT | Primary |
| Family Medicine Physician | 207Q00000X | 2409 | VT |
Addresses
Primary practice location
40 Coult Lane
Old Lyme, CT 06371
Mailing address
40 Coult Lane
Old Lyme, CT 06371
Phone (860) 434-2783
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2409 | VT | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266796800000",
"number": "1285956987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 COULT LANE",
"city": "OLD LYME",
"state": "CT",
"postal_code": "06371",
"telephone_number": "860-434-2783",
"fax_number": "860-434-2332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 COULT LANE",
"city": "OLD LYME",
"state": "CT",
"postal_code": "06371",
"telephone_number": "860-434-2783",
"fax_number": "860-434-2783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDMANN",
"first_name": "KARL",
"middle_name": "R.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-22",
"last_updated": "2010-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "010369",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VT",
"license": "2409",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Old Lyme, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.