Active NPI
Friedman Surgical Group P C
- Vascular Surgery Physician
- Livonia, MI
National Provider Identifier
1770603680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- PF05768
- Legal business name
- FRIEDMAN SURGICAL GROUP P C
- Practice address
- 14555 Levan Rd Ste 307
Livonia, MI 48154-5085 - Phone
- (734) 462-1525
- NPI assigned
- Apr 2, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Friedman, M D
- Title
- President
- Phone
- (734) 462-1525
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | PF05768 | MI | Primary |
Addresses
Primary practice location
14555 Levan Rd Ste 307
Livonia, MI 48154-5085
Mailing address
14555 Levan Rd Ste 307
Livonia, MI 48154-5085
Phone (734) 462-1525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
14555 Levan Rd
Ste 307
Livonia, MI 48154
Phone (734) 462-1525
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1770603680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14555 LEVAN RD STE 307",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481545085",
"telephone_number": "734-462-1525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14555 LEVAN RD STE 307",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481545085",
"telephone_number": "734-462-1525"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRIEDMAN SURGICAL GROUP P C",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FRIEDMAN",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "734-462-1525",
"authorized_official_credential": "M D"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MI",
"license": "PF05768",
"primary": true
}
],
"identifiers": [],
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.