Individual provider Active NPI

Joel Friedman, MD

  • Specialist
  • Stuart, FL
National Provider Identifier
1912974981
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME038711 Issued in FL
Practice address
6522 S Kanner Hwy
Stuart, FL 34997-6396
Phone
(772) 463-1123
Fax
(772) 463-3072
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME038711 FL Primary

Addresses

Primary practice location

6522 S Kanner Hwy
Stuart, FL 34997-6396

Mailing address

6149 Wilbur Way
Lake Worth, FL 33467-8748
Phone (561) 514-8413

Other identifiers 1

IdentifierTypeStateIssuer
16-1711775OtherFLMEDSTAT FEDERAL ID #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051015000054 FL Practitioner - Emergency Medicine 7012933476 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME038711FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Thse - Marco Urgent Care LLC CurrentSince Jun 1, 2016 Accepting new patients
Southwest Florida Emergency Management LLC CurrentSince Dec 1, 2011 Accepting new patients
Inphynet South Broward LLC Past Accepting new patients
Inphynet Contracting Services LLC Past Accepting new patients
Emergency Specialists of Wellington LLC Past Accepting new patients

Locations

40 S Heathwood Dr
Marco Island, FL 34145
Phone (239) 393-4079

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

14050 NW 14th St
Ste 190
Sunrise, FL 33323
Phone (954) 424-3672

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912974981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6149 WILBUR WAY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334678748",
            "telephone_number": "561-514-8413",
            "fax_number": "561-514-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6522 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349976396",
            "telephone_number": "772-463-1123",
            "fax_number": "772-463-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "JOEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME038711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDSTAT  FEDERAL ID #",
            "identifier": "16-1711775",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.