MEDICARE: MARTIN CLENDENNING FRIED MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	35133068	OH
2	207RA0401X	Addiction Medicine (Internal Medicine) Physician	35.133068	OH

General Provider Information

NPI Number	:	1174933444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTIN CLENDENNING FRIED MD

Provider Business Mailing Address
First Line	:	700 ACKERMAN RD STE 2120
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43202-1559
Country	:	US
Telephone Number	:	614-293-5123
Fax Number	:	614-293-4890

Provider Business Practice Location Address
First Line	:	2050 KENNY RD FL 1
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43221-3502
Country	:	US
Telephone Number	:	614-293-5123
Fax Number	:	614-293-4890

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2014
Last Update Date	:	02/06/2026

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Directions to “ MARTIN CLENDENNING FRIED MD” Practice Location

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