Individual provider Active NPI

Harold D Friedl, MD

  • Colon & Rectal Surgery Physician
  • Kalamazoo, MI
National Provider Identifier
1962470435
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
4301036711 Issued in MI
Practice address
1126 Gull Road
Colon and Rectal Surgery Associates PC
Kalamazoo, MI 49048-1726
Phone
(269) 343-0740
Fax
(269) 343-0715
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 4301036711 MI Primary

Addresses

Primary practice location

1126 Gull Road
Colon and Rectal Surgery Associates PC
Kalamazoo, MI 49048-1726

Mailing address

1126 Gull Road
Colon and Rectal Surgery Associates PC
Kalamazoo, MI 49048-1726
Phone (269) 343-0740

Other identifiers 2

IdentifierTypeStateIssuer
1025761770MedicaidMI
280C96122OtherMIBCBS MICHIGAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Colon and Rectal Surgery Associates PC Colon & Rectal Surgery CurrentSince Aug 1, 1989 Accepting new patients

Locations

1126 Gull Rd
Kalamazoo, MI 49048
Phone (269) 343-0740

Organizations & group practices 1

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200009600000",
    "number": "1962470435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 GULL ROAD",
            "address_2": "COLON AND RECTAL SURGERY ASSOCIATES PC",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481726",
            "telephone_number": "269-343-0740",
            "fax_number": "269-343-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 GULL ROAD",
            "address_2": "COLON AND RECTAL SURGERY ASSOCIATES PC",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481726",
            "telephone_number": "269-343-0740",
            "fax_number": "269-343-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDL",
        "first_name": "HAROLD",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MI",
            "license": "4301036711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025761770",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MICHIGAN",
            "identifier": "280C96122",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.