Individual
JONATHAN FRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2605 N LEBANON ST, LEBANON, IN 46052-1476
(765) 448-8000
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01035321
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000594100
ANTHEM PROVIDER NUMBER
IN
05
—
100342860
—
IN
Enumeration date
08/01/2006
Last updated
03/29/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us