JONATHAN FRIED (NPI# 1154338309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154338309 |
| Entity Type | Individual |
| Full Name | JONATHAN FRIED |
| Credential | MD |
| Practice Address |
2605 N Lebanon St Lebanon IN 46052-1476 |
| Mailing Address |
Po Box 5545 Lafayette IN 47903-5545 |
| Practice Telephone | 7654488000 |
| Mailing Telephone | 7654488000 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 01035321 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100342860 | 05 | |
| IN | ANTHEM PROVIDER NUMBER | 000000594100 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275169112 | Jonathan Evan Fried | Student in an Organized Health Care Education/Training Program | 75 Francis St, Boston, MA 02115-6106 | 2020-03-22 |
| Street Address |
2605 N LEBANON ST |
| City | LEBANON |
| State | IN |
| Zip Code | 46052-1476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700870060 | Doris E Taylor Austin | Anesthesiology | 2605 N Lebanon St, Lebanon, IN 46052-1476 | 2005-09-01 |
| 1396222733 | Bailey C Goodman | Physician Assistant | 2605 N Lebanon St, Lebanon, IN 46052-1476 | 2018-07-27 |
| 1598253577 | Charles E. Wade | Hospitalist | 2605 N Lebanon St, Lebanon, IN 46052-1476 | 2018-04-25 |
| 1780126920 | Lacey N Christian | Hospitalist | 2605 N Lebanon St, Lebanon, IN 46052 | 2016-11-04 |
| 1053867572 | Mary Katherine Fuller-nave | Hospitalist | 2605 N Lebanon St, Lebanon, IN 46052-1476 | 2016-08-26 |
| 1598112955 | Christina Seib Stinnette | Anesthesiology | 2605 N Lebanon St, Lebanon, IN 46052-1476 | 2016-05-16 |
| 1891175063 | Richele Kelly | Anesthesiology | 2605 N Lebanon St, Lebanon, IN 46052-1476 | 2015-06-03 |
| 1104220078 | Nicholas Osborne | Hospitalist | 2605 N Lebanon St, Lebanon, IN 46052-1476 | 2014-10-21 |
| 1588071914 | Witham Memorial Hospital | Skilled Nursing Facility | 2605 N Lebanon St, Lebanon, IN 46052-1476 | 2014-07-17 |
| 1184057671 | Laura Devlin | Nurse Practitioner | 2605 N Lebanon St, Lebanon, IN 46052-1476 | 2013-08-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316567647 | Meredith England Labrie | Behavioral Analyst | 110 Birchwood Drivve, Lebanon, IN 46052 | 2020-04-16 |
| 1710401492 | Kenzlie Ann Westerfield | Specialist/Technologist | 613 Countryside Drive, Lebanon, IN 46052 | 2017-08-03 |
| 1487040044 | Jenny L Essex | Social Worker | 1614 N. Lebanon St., Integrative Wellness, LLC, Lebanon, IN 46052 | 2015-04-10 |
| 1316177363 | Kathryn Elizabeth Ehrgott | Counselor | 1005 South Lebanon Street, Boone County Services, Lebanon, IN 46052 | 2009-07-23 |
| 1780838557 | Kathleen M Whitaker | Registered Nurse | 209 W North St, Lebanon, IN 46052 | 2008-11-06 |
| 1851551998 | James R Mcafee | General Practice | 1997 Terrace Ln, Lebanon, IN 46052 | 2008-06-12 |
| 1518021773 | Zulfiqar Ali Mirza | Internal Medicine | 2505 N Lebanon St Ste 220, Lebanon, IN 46052 | 2006-12-21 |
| 1316016108 | Russell Allen Lindner | Chiropractor | 3920 North State Road 39, Boone County Chiropractic Office, Lebanon, IN 46052 | 2006-11-07 |
| 1487755781 | Cowan Drugs Inc | Pharmacy | 112 N Lebanon St, Lebanon, IN 46052 | 2006-09-26 |
| 1558463992 | Cowan Drugs Inc | Pharmacy | 1639 N Lebanon St, Lebanon, IN 46052 | 2006-09-05 |
| Find all providers in zip 46052 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316479496 | Sormeh Harounzadeh | Emergency Medicine | 65 On The Grn, Lebanon, PA 17042-9473 | 2017-03-29 |
| 1518252964 | Medexpress Urgent Care, PC - Pennyslvania | Emergency Medicine | 1010 W Crestview Dr, Lebanon, PA 17042-7415 | 2011-06-14 |
| 1891929527 | James Michael Mcweeney | Emergency Medicine | 520 Mcclure Rd, Lebanon, OH 45036-9317 | 2009-05-09 |
| 1588762611 | Karl C Lewis | Emergency Medicine | 58 Carroll and Tate Streets, Call Box 3600, Lebanon, VA 24266 | 2006-09-20 |
| 1326141672 | Norman Rexrode Jr. | Emergency Medicine | 3600 Tate and Carroll Streets, Lebanon, VA 24266 | 2006-09-05 |
| 1316051683 | Scott P Giles | Emergency Medicine | 115 Winwood Dr Ste 205, Lebanon, TN 37087-1399 | 2006-08-17 |
| 1326064460 | Good Samaritan Physician Services | Emergency Medicine | 4th and Willow Streets, Lebanon, PA 17042-0300 | 2006-07-14 |
| 1265468169 | Russell Hal Mcune | Emergency Medicine | 35632 Brewster Rd, Lebanon, OR 97355-9452 | 2006-06-23 |
| 1639140585 | Karen L Oldham | Emergency Medicine | 2395 Cedar Grove Rd, Lebanon, TN 37087-7991 | 2006-01-30 |
| 1255328787 | Andrew Winge | Emergency Medicine | 525 N Santiam Hwy, Lebanon, OR 97355-4363 | 2005-09-30 |
| Find all providers in LEBANON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.