Active NPI
Steve M. Friday
- Podiatrist
- Xenia, OH
National Provider Identifier
1447307723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36-002451
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0675836 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930011760 | OH | DME Supplier - Physician - Podiatry | 7012128101 | Practice locations: Xenia, OH |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- 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.