John Friedli, PA-C
Individual provider Active NPI Physician Assistant · Ashland, WI
NPI 1508950593 · NPPES record last updated Apr 29, 2011
Key facts
- NPI
- 1508950593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 1406-023 (WI)
- Practice address
- 1625 Maple LN
Ashland, WI 54806-3768 - Phone
- (715) 685-7500
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aspirus Ironwood Hospital and Clinics Inc
Practice addresses (Care Compare)
501 Granite St
Hurley, WI 54534-1372
Phone (906) 561-2255
N10561 Grandview LN
Ironwood, MI 49938-9622
Phone (906) 932-2525
N10561 Granview LN
Grand View Hospital
Ironwood, MI 49938-9622
Phone (906) 932-2525
N10565 Grand View Lane
Ironwood, MI 49938-9622
N10565 Grandview Lane
Ironwood, MI 49938-9622
N10565 Grandview LN Aspirus Ironwood
Ironwood, MI 49938-9622
Phone (715) 843-1067
Hospital & facility affiliations
- Aspirus at Home
- Aspirus Ironwood Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110902000585 | MI | Practitioner - Physician Assistant | 3173422276 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1406-023 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Ironwood Hospital & Clinics, Inc. | Current |
Accepting new patients | |
| Aspirus Ironwood Hospital & Clinics, Inc. | Current |
Accepting new patients | |
| The Duluth Clinic, LTD. | Past | Accepting new patients | |
| Vickers Eyecare, Inc | Past |
Accepting new patients | |
| The Duluth Clinic, LTD | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
N10561 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500
N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500
601 S 7th St
Ontonagon, MI 49953
Phone (906) 884-8000
501 Granite St
Hurley, WI 54534
Phone (715) 561-2255
9815 State Highway 70
Minocqua, WI 54548
Phone (715) 358-3937
611 Veterans Pkwy
Woodruff, WI 54568
Phone (715) 358-8600
Interoperability endpoints
- jfriedli53575@direct.aspirus.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601003697 | MI | |
| Physician Assistant | 363A00000X | 1406-023 | WI | Yes |
Addresses
Primary practice location
1625 Maple LN
Ashland, WI 54806-3768
Mailing address
1625 Maple LN
Ashland, WI 54806-3768
Phone (715) 685-7500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508950593 | Medicaid | MN | |
| 419646000 | Medicaid | WI |
Other providers in Ashland, WI
- Rebecca Fleming
- Craig W. Florine
- Forward Horizons, Inc
- Jenna Fox
- Khloe Chao Frank-McQuarter
- Nakia Fuller
- Malorie Gaber
- Daniel Arthur Gardner
- Jill Briget Garrington
- Kelsey Gerhart
All providers in Ashland, WI · Physician Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.