Active NPI
Cynthia J Friedmann, PA-C
- Surgical Physician Assistant
- Saint Cloud, MN
National Provider Identifier
1497785984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 024590
- Practice address
- 1200 6TH Ave N
Centracare Clinic
Saint Cloud, MN 56303-2735 - Phone
- (320) 656-7020
- NPI assigned
- Jul 3, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 9302 | MN | |
| Surgical Physician Assistant | 363AS0400X | MN9302 | MN | |
| Surgical Physician Assistant | 363AS0400X | 024590 | NY | Primary |
Addresses
Primary practice location
1200 6TH Ave N
Centracare Clinic
Saint Cloud, MN 56303-2735
Mailing address
1200 6TH Ave N
Centracare Clinic
Saint Cloud, MN 56303-2735
Phone (320) 656-7020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 969011500 | Medicaid | MN |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9302 | MN | MD | Physical Therapist |
| 024590 | NY | MD | Occupational Therapist |
| MN9302 | MN | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centracare Clinic | Past | Accepting new patients | |
| Centracare Clinic | Past | Accepting new patients |
Interoperability endpoints
- cfriedmann766@direct.centracare.com
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.
-
dba CentraCare - St. Joseph Clinic
- Multi-Specialty Clinic/Center
- Saint Joseph, MN
- NPI 1134121759
-
dba CentraCare - Plaza Clinic
- Multi-Specialty Clinic/Center
- Saint Cloud, MN
- NPI 1225030844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580342400000",
"number": "1497785984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 6TH AVE N",
"address_2": "CENTRACARE CLINIC",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563032735",
"telephone_number": "320-656-7020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 6TH AVE N",
"address_2": "CENTRACARE CLINIC",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563032735",
"telephone_number": "320-656-7020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDMANN",
"first_name": "CYNTHIA",
"middle_name": "J",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MN",
"license": "9302",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MN",
"license": "MN9302",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "024590",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "969011500",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, MN
- Freedom Respiratory Solutions, LLC (ProvidaCare Medical Supply)
- Chris Freeman, PHARM.D.
- Amanda Lynn Freihammer
- Fresenius Medical Care Centracare Dialysis, LLC (Fresenius Kidney Care St. Cloud)
- Erica J Frey
- Stephanie Friesen
- Jason Lee Friesz, DDS
- Crystal Violet Fritzlar
- Sandra Froehling
- Angela Marie Froelich, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.