Active NPI
Charles W Frinak, MD
- Family Medicine Physician
- Beaver Dam, WI
National Provider Identifier
1497706949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 24160-020
- Practice address
- 705 S University Ave
Ste 400
Beaver Dam, WI 53916-3081 - Phone
- (920) 887-3102
- Fax
- (920) 885-8788
- NPI assigned
- May 12, 2006
- Last updated
- Apr 30, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 24160-020 | WI | Primary |
Addresses
Primary practice location
705 S University Ave
Ste 400
Beaver Dam, WI 53916-3081
Mailing address
705 S University Ave
Ste 400
Beaver Dam, WI 53916-3081
Phone (920) 887-3102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013447 | Other | WI | PHYSICIANS PLUS |
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 |
|---|---|---|---|
| 24160-020 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agnesian Healthcare Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398816000000",
"number": "1497706949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 S UNIVERSITY AVE",
"address_2": "STE 400",
"city": "BEAVER DAM",
"state": "WI",
"postal_code": "539163081",
"telephone_number": "920-887-3102",
"fax_number": "920-885-8788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 S UNIVERSITY AVE",
"address_2": "STE 400",
"city": "BEAVER DAM",
"state": "WI",
"postal_code": "539163081",
"telephone_number": "920-887-3102",
"fax_number": "920-885-8788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRINAK",
"first_name": "CHARLES",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2014-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "24160-020",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIANS PLUS",
"identifier": "1013447",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beaver Dam, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.