Individual provider Active NPI

Karenne Nstang Fru, M.D, PHD

  • Reproductive Endocrinology Physician
  • West Columbia, SC
National Provider Identifier
1164682373
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
201302150 Issued in NC
Practice address
2324 Sunset Blvd
West Columbia, SC 29169-4716
Phone
(803) 726-3600
Fax
(803) 929-0504
NPI assigned
Jun 11, 2008
Last updated
Aug 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X 201302150 NC Primary

Addresses

Primary practice location

2324 Sunset Blvd
West Columbia, SC 29169-4716

Mailing address

2324 Sunset Blvd
West Columbia, SC 29169-4716
Phone (803) 726-3600

Other practice location 1

2131 S 17th St
Wilmington, NC 28401-7407
Phone (910) 667-9402

Other practice location 2

1280 Hospital Dr Unit 300
MT Pleasant, SC 29464-1901
Phone (843) 881-7400

Other names 1

  • Dr. Karenne Nstang Fru Professional name

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, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
201302150NCMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Muna Fertility Inc Reproductive Endocrinology Current Accepting new patients
Piedmont Reproductive Endocrinology Group, PA PastSince Aug 16, 2020 Accepting new patients

Locations

5887 Glenridge Dr
Ste 300
Sandy Springs, GA 30328

Interoperability endpoints

  • Direct secure messaging: karenne.fru.1@22546.direct.athenahealth.com

Organizations & group practices 2

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": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1164682373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694716",
            "telephone_number": "803-726-3600",
            "fax_number": "803-929-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694716",
            "telephone_number": "803-726-3600",
            "fax_number": "803-929-0504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2131 S 17th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017407",
            "country_code": "US",
            "telephone_number": "910-667-9402",
            "fax_number": "910-772-9452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1280 Hospital Dr Unit 300",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "SC",
            "postal_code": "294641901",
            "country_code": "US",
            "telephone_number": "843-881-7400",
            "fax_number": "843-881-7444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRU",
        "first_name": "KARENNE",
        "middle_name": "NSTANG",
        "name_prefix": "Dr.",
        "credential": "M.D, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NC",
            "license": "201302150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARENNE",
            "last_name": "FRU",
            "middle_name": "NSTANG",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.