Jack Michael Friday, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD25800 Issued in TN

Practice address

3024 Business Park Cir
Goodlettsville, TN 37072-3132

Phone

(615) 851-6033

Fax

(615) 851-2018

NPI assigned

Jun 5, 2006

Last updated

Nov 30, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Columbia St. Mary's Hospital Milwaukee, Inc

  dba Ascension Columbia St Mary's Hospital Milwaukee

  • Multi-Specialty Clinic/Center
  • Milwaukee, WI
  • NPI 1023064482
  Medicare reassignment NPD
• Middle Tennessee Imaging LLC

  dba Premier Radiology Upright MRI

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Nashville, TN
  • NPI 1750889242
  NPD
• Middle Tennessee Imaging, LLC

  dba Premier Radiology Mobile Diagnostics

  • Mobile Radiology Clinic/Center
  • Nashville, TN
  • NPI 1629434394
  NPD
• Middle Tennessee Imaging, LLC

  • Radiology Clinic/Center
  • Nashville, TN
  • NPI 1932686318
  NPD
• Middle Tennessee Imaging, LLC

  dba Premier Radiology - Lenox Village

  • Radiology Clinic/Center
  • Nashville, TN
  • NPI 1972025989
  NPD
• Columbia St. Mary's Hospital Milwaukee Inc

  dba Ascension Columbia St Mary's Hospital Milwaukee

  • Multi-Specialty Clinic/Center
  • Milwaukee, WI
  • NPI 1225071491
  NPD
• Columbia St. Mary's Hospital Milwaukee Inc

  dba Ascension Columbia St Mary's Hospital Ozaukee

  • Psychiatric Hospital Unit
  • Mequon, WI
  • NPI 1417600909
  NPD
• K. Brian Walton, MD, PLC

  • Surgery Physician
  • Goodlettsville, TN
  • NPI 1528104908
  NPD (past)
• National Imaging Specialists PLLC

  • Diagnostic Radiology Physician
  • Goodlettsville, TN
  • NPI 1679746457
  NPD (past)
• Sacred Heart Rehabilitation Institute, Inc.

  dba Ascension Sacred Heart Rehabilitation Hospital

  • Rehabilitation Hospital
  • Mequon, WI
  • NPI 1508920356
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1700825940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-851-6033",
            "fax_number": "615-851-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-851-6033",
            "fax_number": "615-851-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIDAY",
        "first_name": "JACK",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "MD25800",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TN",
            "license": "25800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Michael Fisher, MD
• Fluency ABA, LLC
• Joseph Albert Fox, D.D.S.
• Roderick Vincent Frazier, DDS
• Fresenius Medical Care Goodlettsville, LLC (Fresenius Kidney Care Goodlettsville)
• FTP Non Profit
• Gabriel, LLC
• Charles Zachary Gammill, DC
• Daniel Geare, DMD
• Meredith Jeanne Gibbs

• Diagnostic Radiology Physician in Goodlettsville, TN
• Providers in Goodlettsville, TN by specialty
• Diagnostic Radiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.

Verify at the official NPI Registry.