Active NPI
Phillip Austen Friesen, D.O.
- Emergency Medicine Physician
- Austin, TX
National Provider Identifier
1962769802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- BP10042997
- Practice address
- 1400 N. I-35
Suite C3.314
Austin, TX 78701 - Phone
- (512) 324-7000
- NPI assigned
- Apr 17, 2012
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | BP10042997 | TX | Primary |
Addresses
Primary practice location
1400 N. I-35
Suite C3.314
Austin, TX 78701
Mailing address
1400 N. I-35
Suite C3.314
Austin, TX 78701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Oklahoma State University College of Osteopathic Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9205 SW Barnes Rd
Portland, OR 97225-6603
Phone (503) 216-2213
Hospital & facility affiliations
- Providence St Vincent Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.65 of 100
- Quality
- 98.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.38
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10042997 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Oregon | Emergency Medicine | Current | Accepting new patients |
| Providence Health & Services - Oregon | Emergency Medicine | Current | Accepting new patients |
Locations
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
Emergency Medicine
-
- Clinical Pathology Physician
- Portland, OR
- NPI 1831641745
Emergency Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334620800000",
"number": "1962769802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 N. I-35",
"address_2": "SUITE C3.314",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 N. I-35",
"address_2": "SUITE C3.314",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78701",
"telephone_number": "512-324-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIESEN",
"first_name": "PHILLIP",
"middle_name": "AUSTEN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-17",
"last_updated": "2012-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "BP10042997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.