Amy L Friedenthal MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

AMY L FRIEDENTHAL MD PC

Practice address

12512 Lake Ridge Dr Ste D
Lake Ridge, VA 22192-2386

Phone

(703) 497-5555

Fax

(703) 497-1479

NPI assigned

Jul 13, 2007

Last updated

Jul 13, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amy Friedenthal, MDNPI 1427176999

Title

Physician

Phone

(703) 497-5555

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4363/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Lyn Friedenthal, MD

  • Internal Medicine Physician
  • Woodbridge, VA
  • NPI 1427176999
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1174722664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12512 LAKE RIDGE DR STE D",
            "city": "LAKE RIDGE",
            "state": "VA",
            "postal_code": "221922386",
            "telephone_number": "703-497-5555",
            "fax_number": "703-497-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12512 LAKE RIDGE DR STE D",
            "city": "LAKE RIDGE",
            "state": "VA",
            "postal_code": "221922386",
            "telephone_number": "703-497-5555",
            "fax_number": "703-497-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY L FRIEDENTHAL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "FRIEDENTHAL",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "703-497-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Lake Ridge, VA
• Providers in Lake Ridge, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.