NPIMap

Individual provider Active NPI

Paul B Fredette, M.D.

  • Surgery Physician
  • Bellingham, WA
National Provider Identifier
1265670954
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD60074844 Issued in WA
Practice address
2940 Squalicum Pkwy Ste 204
Bellingham, WA 98225-1892
Phone
(360) 733-0070
Fax
(360) 676-8351
NPI assigned
Feb 3, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X CA
Surgery Physician 208600000X MD60074844 WA Primary

Addresses

Primary practice location

2940 Squalicum Pkwy Ste 204
Bellingham, WA 98225-1892

Mailing address

2940 Squalicum Pkwy Ste 204
Bellingham, WA 98225-1892
Phone (360) 733-0070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090922000179 WA Practitioner - General Surgery 5991851669 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Loma Linda University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Public Hospital Dist No 1 SkagitGroup PAC ID 6800793522, 321 clinicians
PeacehealthGroup PAC ID 9537073960, 292 clinicians

Practice addresses (Care Compare)

1400 E Kincaid St
Mount Vernon, WA 98274-4127
Phone (360) 428-2500

2980 Squalicum Pkwy
Suite 301
Bellingham, WA 98225-1880
Phone (360) 788-6112

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD60074844WAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital Dist No 1 Skagit CurrentSince Nov 26, 2023 Accepting new patients
Public Hospital Dist No 1 Skagit Current Accepting new patients
Parkway Surgical Center, LLC Current Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Nov 26, 2023 Accepting new patients
Peacehealth CurrentSince Feb 2, 2018 Accepting new patients
Public Hospital Dist No 1 Skagit Past Accepting new patients
Fourth Corner Neurosurgical Associates Inc PS Specialist Past Accepting new patients
Public Hospital Dist No 1 Skagit Specialist Past Accepting new patients

Locations

2980 Squalicum Pkwy
Ste 301
Bellingham, WA 98225
Phone (360) 671-4944

3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186

2940 Squalicum Pkwy
Ste 204
Bellingham, WA 98225
Phone (360) 676-8350

2980 Squalicum Pkwy
Ste 302
Bellingham, WA 98225
Phone (360) 788-8200

3015 Squalicum Pkwy
Ste 200
Bellingham, WA 98225
Phone (360) 733-2092

1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

Interoperability endpoints

  • Direct secure messaging: pfredette45457@skagit.direct-ci.com
  • Direct secure messaging: paulfredette@pgspllc.allscriptsdirect.net

Organizations & group practices 8

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1265670954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 SQUALICUM PKWY STE 204",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251892",
            "telephone_number": "360-733-0070",
            "fax_number": "360-676-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 SQUALICUM PKWY STE 204",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251892",
            "telephone_number": "360-733-0070",
            "fax_number": "360-676-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDETTE",
        "first_name": "PAUL",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-03",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD60074844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.