Individual provider Active NPI

Gary Neal Friedlander, DPM

  • Foot & Ankle Surgery Podiatrist
  • Glendale, AZ
National Provider Identifier
1700848157
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0196 Issued in AZ
Practice address
5750 W Thunderbird Rd Ste G700
Glendale, AZ 85306
Phone
(602) 938-3600
Fax
(602) 938-0400
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0196 AZ Primary

Addresses

Primary practice location

5750 W Thunderbird Rd Ste G700
Glendale, AZ 85306

Mailing address

5352 E Estevan Rd
Phoenix, AZ 85054-7211
Phone (602) 938-3600

Other identifiers 1

IdentifierTypeStateIssuer
700064MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070723000875 AZ Practitioner - Podiatry 5890693717 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0196AZMDFoot & Ankle Surgery Podiatrist
196AZMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gfservices, PLLC Current Accepting new patients
Margaret a. Withrow, DPM, PC Foot & Ankle Surgery CurrentSince Mar 1, 2019 Accepting new patients

Locations

13660 N 94th Dr
Ste A3
Peoria, AZ 85381
Phone (623) 933-4645

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1700848157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5352 E ESTEVAN RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850547211",
            "telephone_number": "602-938-3600",
            "fax_number": "602-938-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 W THUNDERBIRD RD STE G700",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85306",
            "telephone_number": "602-938-3600",
            "fax_number": "602-938-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDLANDER",
        "first_name": "GARY",
        "middle_name": "NEAL",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "700064",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.