Individual provider Active NPI

Peter Paul Frohnert, MD

  • Nephrology Physician
  • Saint Paul, MN
National Provider Identifier
1063650307
Registry record updated Jan 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
19546 Issued in MN
Practice address
66 9TH St E
Apt. 2305
Saint Paul, MN 55101-4700
Phone
(651) 291-0581
NPI assigned
Jan 24, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 19546 MN Primary

Addresses

Primary practice location

66 9TH St E
Apt. 2305
Saint Paul, MN 55101-4700

Mailing address

66 9TH St E
Apt. 2305
Saint Paul, MN 55101-4700
Phone (651) 291-0581

Other identifiers 1

IdentifierTypeStateIssuer
19546OtherMNMINNESOTA BOARD OF MEDICAL PRACTICE

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19546MNMDPediatric Gastroenterology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232755200000",
    "number": "1063650307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 9TH ST E",
            "address_2": "APT. 2305",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551014700",
            "telephone_number": "651-291-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 9TH ST E",
            "address_2": "APT. 2305",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551014700",
            "telephone_number": "651-291-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROHNERT",
        "first_name": "PETER",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-24",
        "last_updated": "2009-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MN",
            "license": "19546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA BOARD OF MEDICAL PRACTICE",
            "identifier": "19546",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.