Active NPI
David L Frieswyk, PA-C
- Physician Assistant
- Newark, DE
National Provider Identifier
1023019247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C01861
- Practice address
- 4755 Ogletown Stanton Rd
Suite 1E50
Newark, DE 19718-2200 - Phone
- (302) 733-1980
- Fax
- (410) 601-0901
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C01861 | MD | Primary |
Addresses
Primary practice location
4755 Ogletown Stanton Rd
Suite 1E50
Newark, DE 19718-2200
Mailing address
PO Box 30170
Wilmington, DE 19805-7170
Phone (410) 601-0900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midatlantic Cardiovascular Associates PA | Past | Accepting new patients | |
| Nephrology Center of Maryland, PA | Past | Accepting new patients | |
| Sheppard Pratt Physicians, P.a. | Past | Accepting new patients | |
| Dresnick Sterling ICU Physicians of Maryland, PA | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/7494/brand/1/csg/1/fhir/r4
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Critical Care Medicine (Internal Medicine) Physician
- Bel Air, MD
- NPI 1700830411
-
- Cardiovascular Disease Physician
- Baltimore, MD
- NPI 1821084112
-
- Nephrology Physician
- Baltimore, MD
- NPI 1518932862
-
- Psychiatry Physician
- Baltimore, MD
- NPI 1518990712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389916800000",
"number": "1023019247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30170",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198057170",
"telephone_number": "410-601-0900",
"fax_number": "410-601-0901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4755 OGLETOWN STANTON RD",
"address_2": "SUITE 1E50",
"city": "NEWARK",
"state": "DE",
"postal_code": "197182200",
"telephone_number": "302-733-1980",
"fax_number": "410-601-0901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIESWYK",
"first_name": "DAVID",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2014-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C01861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.