Active NPI
Harold Friedman, D.O.
- Family Medicine Physician
- Livonia, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101007917
- Practice address
- 17800 Newburgh Rd
Suite 103
Livonia, MI 48152-2700 - Phone
- (734) 464-9540
- Fax
- (734) 464-0438
- NPI assigned
- Jan 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101007917 | MI | Primary |
Addresses
Primary practice location
17800 Newburgh Rd
Suite 103
Livonia, MI 48152-2700
Mailing address
17800 Newburgh Rd
Suite 103
Livonia, MI 48152-2700
Phone (734) 464-9540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3272996 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101007917 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Envision Medical Group PLLC | Family Medicine | Current | Accepting new patients |
| Kamran F. Sheikh MD PC | Family Medicine | Current | Accepting new patients |
| VMD Primary Providers Eastern Michigan, PC | Family Medicine | Current | Accepting new patients |
| Envision Medical Group PLLC | Family Medicine | Current | Accepting new patients |
| Health Centers Detroit Foundation, Inc. | Past | Accepting new patients | |
| Inpatient Consultants of Michigan PC | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500
22711 Grand River Ave
Ste 100
Detroit, MI 48219
Phone (313) 221-9189
22711 Grand River Ave
#100
Detroit, MI 48219
Phone (313) 221-9189
17800 Newburgh Rd
Ste 103
Livonia, MI 48152
Phone (734) 464-9540
33400 6 Mile Rd
Ste B
Livonia, MI 48152
Phone (734) 452-7111
42931 7 Mile Rd
Northville, MI 48167
Phone (248) 348-2442
39475 Lewis Dr
Ste 110
Novi, MI 48377
Phone (248) 471-0675
39475 Lewis Dr
Ste 130
Novi, MI 48377
Phone (248) 374-0502
27275 Haggerty Rd
Ste 500
Novi, MI 48377
Phone (248) 715-2423
33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042
Interoperability endpoints
- harold.friedman.1@24172.direct.athenahealth.com
- hfriedman363220@direct.hfhs.org
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Novi, MI
- NPI 1336625540
-
- Family Medicine Physician
- Northville, MI
- NPI 1578891750
-
- Family Medicine Physician
- Northville, MI
- NPI 1821391848
-
- Family Medicine Physician
- Farmington, MI
- NPI 1205862513
-
dba Health Centers Detroit MedicalGroup
- Federally Qualified Health Center (FQHC)
- Detroit, MI
- NPI 1518026541
-
- Hospitalist Physician
- Livonia, MI
- NPI 1861442824
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760462659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17800 NEWBURGH RD",
"address_2": "SUITE 103",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481522700",
"telephone_number": "734-464-9540",
"fax_number": "734-464-0438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17800 NEWBURGH RD",
"address_2": "SUITE 103",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481522700",
"telephone_number": "734-464-9540",
"fax_number": "734-464-0438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDMAN",
"first_name": "HAROLD",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101007917",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3272996",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.