Active NPI
Mark Joel Friedman, MD
- Cardiovascular Disease Physician
- Tucson, AZ
National Provider Identifier
1649279902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 8918
- Practice address
- University of Arizona Health Network
1501 N. Campbell Ave.
Tucson, AZ 85724-0001 - Phone
- (520) 629-2763
- Fax
- (520) 626-0967
- NPI assigned
- Jul 19, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 8918 | AZ | Primary |
| Internal Medicine Physician | 207R00000X | 8918 | AZ |
Addresses
Primary practice location
University of Arizona Health Network
1501 N. Campbell Ave.
Tucson, AZ 85724-0001
Mailing address
University of Arizona Health Network
1501 N. Campbell Ave.
Tucson, AZ 85724-0001
Phone (520) 629-2763
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100014060A | Medicaid | OK |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13203 | OK | MD | Pharmacist |
| 8918 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springer Clinic Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Tulsa, OK
- NPI 1316949860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328054400000",
"number": "1649279902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UNIVERSITY OF ARIZONA HEALTH NETWORK",
"address_2": "1501 N. CAMPBELL AVE.",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857240001",
"telephone_number": "520-629-2763",
"fax_number": "520-626-0967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNIVERSITY OF ARIZONA HEALTH NETWORK",
"address_2": "1501 N. CAMPBELL AVE.",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857240001",
"telephone_number": "520-629-2763",
"fax_number": "520-626-0967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDMAN",
"first_name": "MARK",
"middle_name": "JOEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-19",
"last_updated": "2012-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AZ",
"license": "8918",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "8918",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100014060A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.