Individual provider Active NPI

Frederic Fernholz, MD

  • Urology Physician
  • Laconia, NH
National Provider Identifier
1083631022
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
7723 Issued in NH
Practice address
724 N Main St
Laconia, NH 03246-2742
Phone
(603) 524-5151
NPI assigned
Jul 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 7723 NH Primary

Addresses

Primary practice location

724 N Main St
Laconia, NH 03246-2742

Mailing address

724 N Main St
Laconia, NH 03246-2742
Phone (603) 524-5151

Other identifiers 1

IdentifierTypeStateIssuer
30002198MedicaidNH

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7723NHMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lrghealthcare CurrentSince Oct 1, 2013 Accepting new patients
Concord Hospital-Laconia Urology CurrentSince May 1, 2021 Accepting new patients
Concord Hospital-Franklin CurrentSince Oct 1, 2013 Accepting new patients
Concord Hospital-Franklin Current Accepting new patients
Lrghealthcare Urology Current Accepting new patients
LRG Healthcare Past Accepting new patients

Locations

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

15 Aiken Ave
Franklin, NH 03235
Phone (603) 934-2060

724 N Main St
Laconia, NH 03246
Phone (603) 524-5151

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7464

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083631022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 N MAIN ST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032462742",
            "telephone_number": "603-524-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 N MAIN ST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032462742",
            "telephone_number": "603-524-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNHOLZ",
        "first_name": "FREDERIC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NH",
            "license": "7723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30002198",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laconia, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.