MR. JARED SAMUEL FRIEDMAN (NPI# 1316904147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316904147 |
| Entity Type | Individual |
| Full Name | MR. JARED SAMUEL FRIEDMAN |
| Credential | MD |
| Practice Address |
111 Marble Mill Rd Nw Marietta GA 30060-1047 |
| Practice Telephone | 7704221013 |
| Practice Fax Number | 7705145996 |
| Mailing Telephone | 7704221013 |
| Mailing Fax Number | 7705145996 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2019-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | D52722 | GA | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
052722 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE RAILROAD | P00145724 | 01 |
| GA | BCBS | 878435 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235698143 | Jared Friedman | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Ml 0781, Internal Medicine, Cincinnati, OH 45219 | 2019-03-19 |
| 1174815799 | Jared Friedman | Emergency Medicine | 1005 Joe Dimaggio Dr, Hollywood, FL 33021 | 2011-05-16 |
| 1306852694 | Jared A Friedman | Emergency Medicine | 1325 S Cliff Ave, Emergency Department, Sioux Falls, SD 57105-1007 | 2006-07-31 |
| Street Address |
111 MARBLE MILL RD NW |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-1047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619933249 | Seth A Yellin | Otolaryngology | 111 Marble Mill Rd Nw, Marietta, GA 30060-1047 | 2006-04-22 |
| 1417360322 | Jessica Crabbe Harris | Dermatology | 111 Marble Mill Rd Nw, Marietta, GA 30060-1047 | 2014-06-09 |
| 1295099745 | Jennifer Rose Liechty | Nurse Practitioner | 111 Marble Mill Rd Nw, Marietta, GA 30060-1047 | 2012-06-29 |
| 1164795241 | Kelly A Houmand | Physician Assistant | 111 Marble Mill Rd Nw, Marietta, GA 30060-1047 | 2012-02-20 |
| 1184938797 | Lisa W Hill | Physician Assistant | 111 Marble Mill Rd Nw, Marietta, GA 30060-1047 | 2010-08-06 |
| 1750608758 | Adam Perry | Dermatology | 111 Marble Mill Rd Nw, Marietta, GA 30060-1047 | 2010-04-29 |
| 1497082929 | Jamie Lynn Bosma Groh | Dermatology | 111 Marble Mill Rd Nw, Marietta, GA 30060-1047 | 2009-11-04 |
| 1548383292 | Elizabeth E Richwine | Dermatology | 111 Marble Mill Rd Nw, Marietta, GA 30060-1047 | 2007-04-09 |
| 1710029277 | Shana Boyd Hackworth | Physician Assistant | 111 Marble Mill Rd Nw, Marietta Dermatology Associates Pa, Marietta, GA 30060-1047 | 2007-02-13 |
| 1235283219 | Patricia Anne Flynn | Physician Assistant | 111 Marble Mill Rd Nw, Marietta, GA 30060-1047 | 2007-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366409880 | John David Kayal | Dermatology | 2366 Habersham Dr Sw, Marietta, GA 30064-3804 | 2006-04-27 |
| 1114022167 | Skin Cancer Specialists P C | Dermatology | 835 Cogburn Ave Nw, Suite 100, Marietta, GA 30060-1031 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245572643 | Valerie Lananh Truong | Dermatology | 3193 Howell Mill Rd Nw Ste 220, Atlanta, GA 30327 | 2013-03-23 |
| 1063668762 | Medical Services of Northern Georgia, Inc. | Dermatology | 4060 Peachtree Rd Ne, #d284, Atlanta, GA 30319-3020 | 2008-08-13 |
| 1720189293 | Janice Murphy Warner | Dermatology | 1550 Mulkey Rd, Austell, GA 30106 | 2006-09-26 |
| 1215973482 | Ross M Campbell | Dermatology | 1180 Resurgence Dr, Suite 100, Watkinsville, GA 30677-7210 | 2006-06-22 |
| 1902881659 | Karen R Maffei | Dermatology | 1050 Thomas Ave, Watkinsville, GA 30677-6071 | 2005-12-14 |
| 1023015690 | Diamondis John Papadopoulos | Dermatology | 875 Johnson Ferry Rd Ne, Ste 300, Atlanta, GA 30342-1418 | 2005-06-28 |
| 1154938579 | Forefront Dermatology, S.c. | Dermatology | 7000 Wellness Way Ste 7120, St Simons Island, GA 31522-2286 | 2020-09-29 |
| 1710449079 | Forefront Dermatology, S.c. | Dermatology | 5505 Peachtree Dunwoody Rd Ste 412, Atlanta, GA 30342-1758 | 2019-04-04 |
| 1245780980 | Baucom & Mina Derm Surgery, LLC | Dermatology | 5555 Peachtree Dunwoody Rd, Suite 206, Atlanta, GA 30342-1703 | 2016-10-06 |
| 1396087680 | Surgical & Cosmetic Dermatology, P. C. | Dermatology | 1615 Highway 34 E Ste B, Newnan, GA 30265 | 2013-03-25 |
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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.