Jessica S Friedman, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Eugene, OR
NPI 1689652265 · NPPES record last updated Feb 16, 2024
Key facts
- NPI
- 1689652265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- MD20982 (OR)
- Practice address
- 330 S Garden Way
Suite 220
Eugene, OR 97401-8176 - Phone
- (541) 686-7007
- Fax
- (541) 726-5028
- NPI assigned
- Jan 4, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Temple University School of Medicine, 1994
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1755 Coburg Rd
Eugene, OR 97401-4900
Phone (541) 505-7510
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070508000015 | OR | Practitioner - Obstetrics/Gynecology | 5193821114 | Practice locations: Eugene, OR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Interoperability endpoints
- jessica.friedman.1@5747.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | MD20982 | OR | |
| Obstetrics & Gynecology Physician | 207V00000X | MD20982 | OR | Yes |
Addresses
Primary practice location
330 S Garden Way
Suite 220
Eugene, OR 97401-8176
Mailing address
1755 Coburg Rd Unit 503
Eugene, OR 97401-4900
Phone (541) 505-7510
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 151171 | Medicaid | OR |
Other providers in Eugene, OR
- Fresenius Medical Care Dialysis Services - Oregon, LLC
- Frances Elizabeth Freund
- Heather Frey
- Frances Tessa Emmalyn Friason
- Christine Friedemann
- Jillian Friedman
- Loren Michael Friedman
- Susan Levine Friedman
- Eugene Victor Friedrich Jr.
- Timothy Luke Frieh
All providers in Eugene, OR · Obstetrics & Gynecology Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2024. 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.