James P Fredenberg, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

18614 Issued in AZ

Practice address

1020 N San Francisco St
Suite 100
Flagstaff, AZ 86001-3281

Phone

(480) 609-9300

Fax

(480) 609-9350

NPI assigned

May 17, 2006

Last updated

May 16, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• James P Fredenberg MD PLLC

  • Anesthesiology Physician
  • Flagstaff, AZ
  • NPI 1104128248
  Authorized official Same address or phone
• Around the Mountain Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • Flagstaff, AZ
  • NPI 1831344167
  NPD (past)
• Thomas W Turnbull DDS PC

  • Pediatric Dentistry
  • Flagstaff, AZ
  • NPI 1760544704
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1205888195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13385",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852673385",
            "telephone_number": "480-609-9300",
            "fax_number": "480-609-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 N SAN FRANCISCO ST",
            "address_2": "SUITE 100",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013281",
            "telephone_number": "480-609-9300",
            "fax_number": "480-609-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDENBERG",
        "first_name": "JAMES",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "18614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark David Francom, FNP
• Bradley H Frank, M.D.
• Tamarah Fratianni, D.O
• Eric Freas, M.ED. A.T.,C. L/A.T.
• Anna Elizabeth Fredenberg, PA-C
• Briahnna Fredericks, LMT
• Michael Woodworth Fredrick, DO
• Moriah Freedman
• Freedom Nursing Specialists
• Karen Elizabeth Freeman, LAC

• Anesthesiology Physician in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Anesthesiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.