Active NPI
Paul Andrew Friedrichs, MD
- Urology Physician
- Elmendorf Afb, AK
National Provider Identifier
1366415408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD058374L
- Practice address
- 5955 Zeamer Ave
3D Medical Group CC
Elmendorf Afb, AK 99506-3702 - Phone
- (907) 580-3006
- NPI assigned
- Feb 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Aerospace Medicine Physician | 2083A0100X | MD058374 | PA | |
| Urology Physician | 208800000X | MD058374L | PA | Primary |
Addresses
Primary practice location
5955 Zeamer Ave
3D Medical Group CC
Elmendorf Afb, AK 99506-3702
Mailing address
5955 Zeamer Ave
3D Medical Group CC
Elmendorf Afb, AK 99506-3702
Phone (907) 580-3006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD058374 | PA | MD | Aerospace Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217462400000",
"number": "1366415408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5955 ZEAMER AVE",
"address_2": "3D MEDICAL GROUP CC",
"city": "ELMENDORF AFB",
"state": "AK",
"postal_code": "995063702",
"telephone_number": "907-580-3006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5955 ZEAMER AVE",
"address_2": "3D MEDICAL GROUP CC",
"city": "ELMENDORF AFB",
"state": "AK",
"postal_code": "995063702",
"telephone_number": "907-580-3006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDRICHS",
"first_name": "PAUL",
"middle_name": "ANDREW",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2008-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "PA",
"license": "MD058374",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "PA",
"license": "MD058374L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmendorf Afb, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.