Wenceslous Fru, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

114514 Issued in AK

Practice address

3300 Providence Dr
Suite B314
Anchorage, AK 99508-4690

Phone

(907) 212-3420

Fax

(907) 212-3429

NPI assigned

Sep 11, 2015

Sex

Male

Sole proprietor

No

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

Physician Assistant

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 and National Provider Directory roles.

• Compassionate Medi Rides Transportation

  • Non-emergency Medical Transport (VAN)
  • Wasilla, AK
  • NPI 1275423766
  NPD Authorized official

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1245608975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22301 W ALSOP RD",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996235023",
            "telephone_number": "907-538-2308",
            "fax_number": "907-864-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 PROVIDENCE DR",
            "address_2": "SUITE B314",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084690",
            "telephone_number": "907-212-3420",
            "fax_number": "907-212-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRU",
        "first_name": "WENCESLOUS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-11",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "114514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frost Dental-Anchorage
• Bucky M Frost, CRNA
• Cassie Jean Frost, MSW
• Hannah Frost
• John D. Frost, M.D.
• Abigail Maria Fry, PHARMD
• Jessy Frye, PMHNP-BC, DNP
• Michelle Frye, RDH
• Victoria Ann Fryer, MSW
• Hannah Marie Fryfogle

• Physician Assistant in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.