Provider Demographics
NPI:1033192810
Name:REED FRIEDMAN, AMY JO (MD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:JO
Last Name:REED FRIEDMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:JO
Other - Last Name:REED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3535 GRANGER RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44333-1538
Mailing Address - Country:US
Mailing Address - Phone:330-666-3400
Mailing Address - Fax:216-201-6347
Practice Address - Street 1:3800 EMBASSY PKWY
Practice Address - Street 2:SUITE 260
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44333-8387
Practice Address - Country:US
Practice Address - Phone:330-664-8181
Practice Address - Fax:330-664-8185
Is Sole Proprietor?:No
Enumeration Date:2005-11-25
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35073001R207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2126701Medicaid
OHRE0882302Medicare ID - Type Unspecified
OH2126701Medicaid