NPIMap

Individual provider Active NPI

Theresa L Froelich, DO

  • Obstetrics & Gynecology Physician
  • University Place, WA
National Provider Identifier
1306882915
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OP00001283 Issued in WA
Practice address
7210 40TH St W
Ste 100
University Place, WA 98466-4318
Phone
(253) 564-0170
NPI assigned
Jun 21, 2006
Last updated
Nov 16, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OP00001283 WA Primary

Addresses

Primary practice location

7210 40TH St W
Ste 100
University Place, WA 98466-4318

Mailing address

7210 40TH St W
Ste 100
University Place, WA 98466-4318
Phone (253) 564-0170

Other identifiers 6

IdentifierTypeStateIssuer
176262OtherWAL & I
167394OtherWAL & I
8931181OtherWACRIME VICTIMS
160059867OtherWARAILROAD
8934254OtherWACRIME VICTIMS
8372716MedicaidWA

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
I20100429000865 WA Practitioner - Obstetrics/Gynecology 6305973926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
College of Osteo Med of the Pacific at Pomona, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

1608 S J St
Tacoma, WA 98405-4930

1617 S J St
Tacoma, WA 98405-4930
Phone (253) 426-6306

1812 S J St
Suite 120
Tacoma, WA 98405-4965
Phone (253) 428-2200

6401 Kimball Dr
Gig Harbor, WA 98335-1228

7210 40TH St W
Suite 100
University Place, WA 98466-4319
Phone (253) 564-0170

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OP00001283WAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group CurrentSince Mar 15, 2013 Accepting new patients
Franciscan Medical Group CurrentSince Mar 15, 2013 Accepting new patients
Gyft Clinic, PLLC Past Accepting new patients
Franciscan Medical Group Past Accepting new patients
Fox Medical Center PastSince Jun 27, 2021 Accepting new patients

Locations

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

4620 Bridgeport Way W
University Place, WA 98466
Phone (253) 564-0170

7210 40th St W
Ste 100
University Place, WA 98466
Phone (253) 564-0170

Interoperability endpoints

  • Direct secure messaging: tfroelich27988@fhsce.catholichealth.net

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289865600000",
    "number": "1306882915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 40TH ST W",
            "address_2": "STE 100",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664318",
            "telephone_number": "253-564-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 40TH ST W",
            "address_2": "STE 100",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664318",
            "telephone_number": "253-564-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROELICH",
        "first_name": "THERESA",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2010-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "OP00001283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "176262",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "167394",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8931181",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "160059867",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8934254",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8372716",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in University Place, WA

Sources for this page

Verify at the official NPI Registry.