Michelle L Fridman (NPI# 1376900191, PAC ID# 0749587483) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1376900191 |
| PAC ID by PECOS | 0749587483 |
| Professional Enrollment ID | I20160324000735 |
| Full Name | Michelle L Fridman |
| Organization Legal Name | SOUTHEAST, INC. |
| Address |
1455 S 4th St Columbus OH 43207-1011 |
| Phone Number | 61422509801224 |
| Gender | F |
| Medical School | CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 8426014853 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1455 S 4th St, Columbus, OH 43207-1011 | 61422509801224 | SOUTHEAST, INC. |
| 16 W Long St, Columbus, OH 43215-2815 | 6142250990 | SOUTHEAST, INC. |
| Organization Legal Name | SOUTHEAST, INC. |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Anne Henry Sweet | Nurse Practitioner | Southeast, Inc. | 524 W Broad St, Columbus, OH 43215-2775 |
| Jennifer Frangos | Family Practice | Southeast, Inc. | 344 W High Ave, New Philadelphia, OH 44663-2152 |
| Christie L Hite | Clinical Social Worker | Southeast, Inc. | 16 W Long St, Columbus, OH 43215-2815 |
| Emmanuel E Nwajei | Psychiatry | Southeast, Inc. | 68353 Bannock Rd, Saint Clairsville, OH 43950-9736 |
| Abul Qumrul Hasan | Psychiatry | Southeast, Inc. | 1455 S 4th St, Columbus, OH 43207-1011 |
| Nicolas G Nelson | Nurse Practitioner | Southeast, Inc. | 16 W Long St, Columbus, OH 43215-2815 |
| Judith Dean | Clinical Social Worker | Southeast, Inc. | 1455 S 4th St, Columbus, OH 43207-1011 |
| Maria Moreno | Psychiatry | Southeast, Inc. | 68353 Bannock Rd, Saint Clairsville, OH 43950-9736 |
| Christie Marie Mcmillen | Nurse Practitioner | Southeast, Inc. | 68353 Bannock Rd, Saint Clairsville, OH 43950-9736 |
| Lori Donahue | Nurse Practitioner | Southeast, Inc. | 68353 Bannock Rd, Saint Clairsville, OH 43950-9736 |
| Street Address |
1455 S 4TH ST |
| City | COLUMBUS |
| State | OH |
| Zip | 43207-1011 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abul Qumrul Hasan | Psychiatry | Southeast, Inc. | 1455 S 4th St, Columbus, OH 43207-1011 |
| Judith Dean | Clinical Social Worker | Southeast, Inc. | 1455 S 4th St, Columbus, OH 43207-1011 |
| Richard A Scarnati | Psychiatry | Southeast, Inc. | 1455 S 4th St, Columbus, OH 43207-1011 |
| Parris M Watson | Clinical Social Worker | Southeast, Inc. | 1455 S 4th St, Columbus, OH 43207-1011 |
| Amy Lynn Ogden | Nurse Practitioner | Southeast, Inc. | 1455 S 4th St, Columbus, OH 43207-1011 |
| Sally A Hough | Clinical Nurse Specialist | Southeast, Inc. | 1455 S 4th St, Columbus, OH 43207-1011 |
| Sheilla J Ewiah | Nurse Practitioner | Southeast, Inc. | 1455 S 4th St, Columbus, OH 43207-1011 |
| David P Weinhold | Clinical Social Worker | Southeast, Inc. | 1455 S 4th St, Columbus, OH 43207-1011 |
| Samuel A Stahl | Nurse Practitioner | Southeast, Inc. | 1455 S 4th St, Columbus, OH 43207-1011 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ajay P Syam | Chiropractic | Premier Injury Centers | 1430 S High St, Columbus, OH 43207-1045 |
| Quirico G Cristales | General Practice | Premier Injury Centers | 1430 S High St, Columbus, OH 43207-1045 |
| Ryan Saylor | Physical Therapy | Premier Injury Centers | 1430 S High St, Columbus, OH 43207-1045 |
| Imtiaz Kazi | Family Practice | 1460 S High St, Columbus, OH 43207-1047 | |
| Mohammed I Ahmed | Internal Medicine | Mohammed I Ahmed Md Inc | 1430 S High St, Columbus, OH 43207-1087 |
| Mohammed Hassan | Nurse Practitioner | Mohammed I Ahmed Md Inc | 1430 S High St, Columbus, OH 43207-1087 |
| Lawrence Harold Mendel | Family Medicine | Maryhaven Inc | 1791 Alum Creek Dr, Columbus, OH 43207-1708 |
| Tamera L Johnson-roy | Certified Clinical Nurse Specialist (cns) | Columbus Neighborhood Health Center Inc | 1791 Alum Creek Dr, Suite 100, Columbus, OH 43207-1708 |
| Alicia Marie Fogg Filibeck | Clinical Social Worker | Maryhaven Inc | 1791 Alum Creek Dr, Columbus, OH 43207-1708 |
| Lauran L Gilbert | Clinical Social Worker | Maryhaven Inc | 1791 Alum Creek Dr, Columbus, OH 43207-1708 |
| Find all physicians in zip 43207 | |||
| City | COLUMBUS |
| Zip Code | 43207 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | COLUMBUS + CLINICAL SOCIAL WORKER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.