Kenneth B Frisof, MD
Family Medicine in Cleveland, OH. Individual provider (NPI-1).
NPI number1902914799
StatusActive
Last updated in NPPESOct 19, 2011
Details
- NPI
- 1902914799
- Entity type
- Individual (NPI-1)
- Name
- Kenneth B Frisof
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 29, 2006
- Last updated
- Oct 19, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 35051303 | OH | Yes |
Practice location
6835 Broadway AveMetrohealth Broadway Health Center
Cleveland, OH 44105-1313
Phone 216-957-1500
Mailing address
6835 Broadway AveMetrohealth Broadway Health Center
Cleveland, OH 44105-1313
Phone 216-957-1500
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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