Individual provider Active NPI

Wendy Fronterhouse, MD

  • Pediatrics Physician
  • Albuquerque, NM
National Provider Identifier
1558320770
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2003-0027 Issued in NM
Practice address
6100 Pan American Fwy NE
100
Albuquerque, NM 87109-3427
Phone
(505) 727-6200
Fax
(505) 727-9590
NPI assigned
Mar 17, 2006
Last updated
Feb 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 20030027 NM
Pediatrics Physician 208000000X 2003-0027 NM Primary

Addresses

Primary practice location

6100 Pan American Fwy NE
100
Albuquerque, NM 87109-3427

Mailing address

6100 Pan American Fwy NE
100
Albuquerque, NM 87109-3427
Phone (505) 727-6200

Other identifiers 1

IdentifierTypeStateIssuer
82555753MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051114000254 NM Practitioner - Pediatric Medicine 5597796722 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20030027NMMDLegal Medicine
2003-0027NMMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services Pediatrics CurrentSince Jul 1, 2019 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jul 1, 2019 Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients
Southwest Medical Associates, LLC Legal Medicine Past Accepting new patients

Locations

3436 Isleta Blvd SW
Albuquerque, NM 87105
Phone (505) 462-7777

6100 Pan American East Fwy NE
Albuquerque, NM 87109
Phone (505) 823-1010

6100 Pan American East Fwy NE
Ste 100
Albuquerque, NM 87109
Phone (505) 727-6200

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

Interoperability endpoints

  • Direct secure messaging: wfronterhouse66506@direct.phs.org

Organizations & group practices 4

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1558320770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 PAN AMERICAN FWY NE",
            "address_2": "100",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093427",
            "telephone_number": "505-727-6200",
            "fax_number": "505-727-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 PAN AMERICAN FWY NE",
            "address_2": "100",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093427",
            "telephone_number": "505-727-6200",
            "fax_number": "505-727-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRONTERHOUSE",
        "first_name": "WENDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NM",
            "license": "20030027",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "2003-0027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82555753",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.