Basic Information
| Provider Information | |||||||||
| NPI: | 1154311082 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FRIEDMAN | ||||||||
| FirstName: | RONALD | ||||||||
| MiddleName: | MYRON | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 21 HOSPITAL DR | ||||||||
| Address2: | 4TH FLOOR | ||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288014550 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8282534262 | ||||||||
| FaxNumber: | 8284180932 | ||||||||
| Practice Location | |||||||||
| Address1: | 21 HOSPITAL DR | ||||||||
| Address2: | 4TH FLOOR | ||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288014550 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8282534262 | ||||||||
| FaxNumber: | 8284180932 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/22/2005 | ||||||||
| LastUpdateDate: | 10/23/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RH0003X | 9600095 | NC | N | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology | 207RX0202X | 9600095 | NC | N | Allopathic & Osteopathic Physicians | Internal Medicine | Medical Oncology | 207R00000X | 96-00095 | NC | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | A1968 | 01 | NC | MEDCOST | OTHER | 33813 | 01 | NC | BLUE CROSS BLUE SHIELD NC | OTHER | 36-70737 | 01 | NC | CIGNA | OTHER | 36-70737 | 01 | NC | UNITED HEALTHCARE | OTHER | 8933813 | 05 | NC | MEDICAID |