Ronald Lincoln Furedy, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD00011858 Issued in WA

Practice address

2375 Squak Mountain Loop SW
Issaquah, WA 98027-4418

Phone

(425) 657-0023

Fax

(425) 449-5938

NPI assigned

Jan 5, 2007

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Sep 9, 2015 through Sep 9, 2027

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 and National Provider Directory roles.

• Ronald L. Furedy, MD, PS

  • Psychiatry Physician
  • Issaquah, WA
  • NPI 1164705489
  NPD (past) Authorized official

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325462400000",
    "number": "1295882652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 SQUAK MOUNTAIN LOOP SW",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980274418",
            "telephone_number": "425-657-0023",
            "fax_number": "425-449-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 SQUAK MOUNTAIN LOOP SW",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980274418",
            "telephone_number": "425-657-0023",
            "fax_number": "425-449-5938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUREDY",
        "first_name": "RONALD",
        "middle_name": "LINCOLN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2012-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00011858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA BLUE CROSS",
            "identifier": "200687100000",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "F968",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "020977",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Front Street Chiropractic Clinic PS
• Max Fruhwirth
• Sean Jackson Fryer, D.C.
• Andrew M. Fukuda, PT, DPT
• Endalech Renee Fuller
• Nichole Kingham Furness, AU.D.
• Willis P Gabel, DDS, MS
• Amy Gabik
• Lisa Lawrence Galeucia, LMHC
• Heather Roehrs Galgon, D.O.

• Psychiatry Physician in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.