Organization Active NPI

Steve M. Friday

  • Podiatrist
  • Xenia, OH
National Provider Identifier
1447307723
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36-002451 Issued in OH
Legal business name
STEVE M. FRIDAY
Practice address
1182 N Monroe Dr
Xenia, OH 45385-1620
Phone
(937) 372-0900
Fax
(937) 372-0929
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Authorized official

Name
Dr. Steve M. Friday, DPM
Title
Owner
Phone
(937) 372-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 36-002451 OH Primary

Addresses

Primary practice location

1182 N Monroe Dr
Xenia, OH 45385-1620

Mailing address

1182 N Monroe Dr
Xenia, OH 45385-1620
Phone (937) 372-0900

Other identifiers 1

IdentifierTypeStateIssuer
0675836MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930011760 OH DME Supplier - Physician - Podiatry 7012128101 Practice locations: Xenia, OH

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIGBBA

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1447307723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1182 N MONROE DR",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453851620",
            "telephone_number": "937-372-0900",
            "fax_number": "937-372-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1182 N MONROE DR",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453851620",
            "telephone_number": "937-372-0900",
            "fax_number": "937-372-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVE M. FRIDAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "FRIDAY",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-372-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36-002451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0675836",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Xenia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.