Active NPI
Daniel B Friedman, MD
- Pediatrics Physician
- Renton, WA
National Provider Identifier
1629038823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD00037117
- Practice address
- 4033 Talbot Rd S
Ste 200
Renton, WA 98055 - Phone
- (425) 271-5437
- Fax
- (425) 656-4212
- NPI assigned
- Mar 23, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD00037117 | WA | Primary |
Addresses
Primary practice location
4033 Talbot Rd S
Ste 200
Renton, WA 98055
Mailing address
4033 Talbot Rd S
Ste 200
Renton, WA 98055
Phone (425) 271-5437
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8239618 | Medicaid | WA | |
| A011 | Other | CHAMPUS |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00037117 | WA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renton Pediatric Associates, PS | Past | Accepting new patients | |
| Public Hospital District 1 of King County | 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.
-
- General Acute Care Hospital
- Renton, WA
- NPI 1649209230
-
- Medical Specialty Clinic/Center
- Renton, WA
- NPI 1225199474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311120000000",
"number": "1629038823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4033 TALBOT RD S",
"address_2": "STE 200",
"city": "RENTON",
"state": "WA",
"postal_code": "98055",
"telephone_number": "425-271-5437",
"fax_number": "425-656-4212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4033 TALBOT RD S",
"address_2": "STE 200",
"city": "RENTON",
"state": "WA",
"postal_code": "98055",
"telephone_number": "425-271-5437",
"fax_number": "425-656-4212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDMAN",
"first_name": "DANIEL",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2011-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD00037117",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8239618",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "A011",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.