NPIMap

Organization Active NPI

Elliott M. Friedeman MD Inc

  • Specialist
  • Cincinnati, OH
National Provider Identifier
1881939429
Registry record updated Dec 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35039251 Issued in OH
Legal business name
ELLIOTT M. FRIEDEMAN MD INC
Practice address
106 Wellington PL
Cincinnati, OH 45219-1710
Phone
(513) 721-1500
Fax
(513) 977-4894
NPI assigned
Dec 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2012

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

Authorized official

Name
Dr. Elliott Friedeman, M.D.NPI 1558373027
Title
President
Phone
(513) 721-1500

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 35039251 OH Primary

Addresses

Primary practice location

106 Wellington PL
Cincinnati, OH 45219-1710

Mailing address

106 Wellington PL
Cincinnati, OH 45219-1710

Other identifiers 1

IdentifierTypeStateIssuer
0669076MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1355011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355011200000",
    "number": "1881939429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 WELLINGTON PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452191710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 WELLINGTON PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452191710",
            "telephone_number": "513-721-1500",
            "fax_number": "513-977-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOTT M. FRIEDEMAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-09",
        "last_updated": "2012-12-09",
        "status": "A",
        "authorized_official_last_name": "FRIEDEMAN",
        "authorized_official_first_name": "ELLIOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-721-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35039251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0669076",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2012; 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.