Jared Fridley, MD
Neurological Surgery in Providence, Rhode Island
1669703633- Practice location
- Provider Enrollment Department, 117 Ellenfield Street, Suite 101, Providence, RI 02905
- Phone
- 401-793-9197
- Fax
- —
- Last updated
- November 25, 2022
Jared Fridley is a Neurological Surgery based in Providence, RI. Jared Fridley practices in Providence, RI and has the professional credentials of MD. The NPI Number for Jared Fridley is 1669703633 and holds a License No. MD15268 (RI). The current practice location address for Jared Fridley is Provider Enrollment Department, 117 Ellenfield Street, Suite 101, Providence, RI 02905 and can be reached out via phone at 401-793-9197.
Provider Profile Details
- NPI Number
- 1669703633
- Provider Name
- Jared Fridley
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- Provider Enrollment Department, 117 Ellenfield Street, Suite 101, Providence, RI 02905
- Phone Number
- 401-793-9197
- Primary Taxonomy
- Neurological Surgery · 207T00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 14, 2010
- Last Update Date
- November 25, 2022
- Certification Date
- November 18, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Provider Enrollment Department
117 Ellenfield Street, Suite 101
Providence, RI 02905 - City
- Providence
- State
- Rhode Island
- Zip
- 02905
- Phone Number
- 401-793-9197
Provider Business Mailing Address Details
- Address
- 1709 Dryden RD
Houston, TX 77030-2400 - City
- Houston
- State
- TX
- Zip
- 77030-2400
License Information
- License Number
- MD15268
- License State
- RI
- Taxonomy
- Neurological Surgery · 207T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Neurological Surgery providers near Providence, RI
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- Daniel E Biro, MDNeurological Surgery · NPI 1801358239
- Deus Cielo, MDNeurological Surgery · NPI 1912957572
- Dr. Clark C Chen, MD PHDNeurological Surgery · NPI 1437149523
- Dr. David B Kurland, MD, PHDNeurological Surgery · NPI 1518454586
Frequently Asked Questions
What is the NPI number of Jared Fridley, MD?
The NPI number of Jared Fridley, MD is 1669703633. It was assigned on January 14, 2010 and is currently active in the NPPES registry.
What is the specialty of Jared Fridley, MD?
Jared Fridley, MD is registered under the primary taxonomy Neurological Surgery (code 207T00000X), licensed in RI under license number MD15268.
Where does Jared Fridley, MD practice?
The practice location is Provider Enrollment Department, 117 Ellenfield Street, Suite 101, Providence, RI 02905. The office can be reached at 401-793-9197 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669703633 directly on the NPPES registry website.