Active NPI
Martha Friberg, D.O.
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Portland, ME
National Provider Identifier
1417932013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- License
- 962
- Practice address
- 43 Baxter Blvd
Portland, ME 04101-1823 - Phone
- (207) 775-6381
- Fax
- (207) 775-3378
- NPI assigned
- Dec 7, 2005
- Last updated
- Jul 13, 2026
- 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 |
|---|---|---|---|---|
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | 962 | ME | Primary |
Addresses
Primary practice location
43 Baxter Blvd
Portland, ME 04101-1823
Mailing address
43 Baxter Blvd
Portland, ME 04101-1823
Phone (207) 775-6381
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002296 | Other | ME | ANTHEM BLUE SHIELD |
| 040924 | Other | ME | ANTHEM BLUE SHIELD |
| 2727288 | Other | ME | CIGNA INDIV PROV # |
| M2672 | Other | NH | NEWHAMPSHIRE CIGNA |
| 2427080 | Other | ME | AETNA |
| CH8191 | Other | ME | RAILROAD MCARE GROUP # |
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 962 | ME | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1417932013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 BAXTER BLVD",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041011823",
"telephone_number": "207-775-6381",
"fax_number": "207-775-3378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 BAXTER BLVD",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041011823",
"telephone_number": "207-775-6381",
"fax_number": "207-775-3378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIBERG",
"first_name": "MARTHA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "ME",
"license": "962",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE SHIELD",
"identifier": "002296",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE SHIELD",
"identifier": "040924",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA INDIV PROV #",
"identifier": "2727288",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEWHAMPSHIRE CIGNA",
"identifier": "M2672",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2427080",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MCARE GROUP #",
"identifier": "CH8191",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.