Active NPI
John Thomas Friedland, M.D.
- Orthopaedic Surgery of the Spine Physician
- Fort Leonard Wood, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- P1302
- Practice address
- 4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098 - Phone
- (573) 596-0035
- NPI assigned
- Jan 19, 2006
- Last updated
- Mar 2, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | P1302 | TX | Primary |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 42090 | KY | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 45264 | TN |
Addresses
Primary practice location
4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098
Mailing address
4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098
Phone (573) 596-0035
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8X7651 | Other | TX | BCBS |
| 1187713 | Other | TX | CIGNA |
| 7756093 | Other | TX | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42090 | KY | MD | Orthopaedic Surgery of the Spine Physician |
| P1302 | TX | MD | Orthopaedic Surgery of the Spine Physician |
| TP981 | KY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amg-Southern Tennessee LLC | Current | Accepting new patients | |
| Amg-Southern Tennessee LLC | Current | Accepting new patients | |
| Orthopaedic & Spine Institute LLC | Past | Accepting new patients | |
| Louisville Orthopaedic Clinic & Sports Rehabilitation Center PSC | Past | Accepting new patients | |
| Tennessee Heart and Lung Institute PLC | Past | Accepting new patients | |
| Clarksville Physician Services, LLC | Past | Accepting new patients |
Locations
300 S Main St
Estill Springs, TN 37330
Phone (931) 649-5139
185 Hospital Rd
Winchester, TN 37398
Phone (931) 962-4061
83 Memorial Dr
Winchester, TN 37398
Phone (931) 967-3966
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Highpoint Family Wellness - Winchester With Ascension Saint Thomas
- General Practice Physician
- Winchester, TN
- NPI 1164789467
-
dba Highpoint Family Wellness - Blackwell with Ascension Saint Thomas
- Rural Health Clinic/Center
- Tullahoma, TN
- NPI 1174365803
-
dba Dover Medical Clinic
- Rural Health Clinic/Center
- Dover, TN
- NPI 1992077077
-
- Orthopaedic Surgery Physician
- Louisville, KY
- NPI 1407965015
-
- Orthopaedic Surgery Physician
- San Antonio, TX
- NPI 1407889264
-
- Specialist
- Clarksville, TN
- NPI 1699802371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772409600000",
"number": "1689654345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4430 MISSOURI AVE",
"city": "FORT LEONARD WOOD",
"state": "MO",
"postal_code": "654739098",
"telephone_number": "573-596-0035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4430 MISSOURI AVE",
"city": "FORT LEONARD WOOD",
"state": "MO",
"postal_code": "654739098",
"telephone_number": "573-596-0035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDLAND",
"first_name": "JOHN",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2026-03-02",
"certification_date": "2026-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "TX",
"license": "P1302",
"primary": true
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "KY",
"license": "42090",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "TN",
"license": "45264",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8X7651",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1187713",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7756093",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Leonard Wood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.