John Friesen, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M8754 Issued in ID

Practice address

6635 Comanche St
Bonners Ferry, ID 83805-7523

Phone

(208) 267-1718

Fax

(208) 267-7739

NPI assigned

Oct 31, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Medcentral Professional Foundation, LLC

  • Facial Plastic Surgery Physician
  • Mansfield, OH
  • NPI 1841476942
  NPD (past)

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1710978697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6635 COMANCHE ST",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838057523",
            "telephone_number": "208-267-1718",
            "fax_number": "208-267-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6635 COMANCHE ST",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838057523",
            "telephone_number": "208-267-1718",
            "fax_number": "208-267-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIESEN",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M8754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emilee Ede, DDS
• Ernest a. Lucero, MD PC
• Susan F. Falck, LCSW
• Foster Holdings LTD
• Dana R Fox, HIS
• Angela Pearl Plaida Fusco, PHARMD
• Jennifer F Garwick, M.D.
• Jeremy Gau
• Taylor Geyman, DDS
• Troy W Geyman, M.D.

• Family Medicine Physician in Bonners Ferry, ID
• Providers in Bonners Ferry, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.