Active NPI
Forrest J Friedlin, D.O.
- Family Medicine Physician
- Indianapolis, IN
National Provider Identifier
1427014455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 02002974A
- Practice address
- 410 W 10TH St
Suite 2000
Indianapolis, IN 46202-3010 - Phone
- (317) 423-5539
- Fax
- (317) 423-5695
- NPI assigned
- Apr 26, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02002974A | IN | Primary |
Addresses
Primary practice location
410 W 10TH St
Suite 2000
Indianapolis, IN 46202-3010
Mailing address
410 W 10TH St
Suite 2000
Indianapolis, IN 46202-3010
Phone (317) 423-5539
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 Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02002974A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Health and Hospital Corporation of Marion County | Past | Accepting new patients | |
| University Family Physicians, Inc. | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Nurse Practitioner
- Indianapolis, IN
- NPI 1104027879
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1043275787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184630400000",
"number": "1427014455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 W 10TH ST",
"address_2": "SUITE 2000",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462023010",
"telephone_number": "317-423-5539",
"fax_number": "317-423-5695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 W 10TH ST",
"address_2": "SUITE 2000",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462023010",
"telephone_number": "317-423-5539",
"fax_number": "317-423-5695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDLIN",
"first_name": "FORREST",
"middle_name": "J",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2007-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "02002974A",
"primary": true
}
],
"identifiers": [],
"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 Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.