Active NPI
Marsha D Fretwell, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Wilmington, NC
National Provider Identifier
1639139660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 9401190
- Practice address
- 1013 Porters Neck Rd
Suite 100
Wilmington, NC 28411-8130 - Phone
- (910) 686-1099
- Fax
- (910) 686-4715
- NPI assigned
- Mar 24, 2006
- Last updated
- Aug 1, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 9401190 | NC | Primary |
Addresses
Primary practice location
1013 Porters Neck Rd
Suite 100
Wilmington, NC 28411-8130
Mailing address
1013 Porters Neck Rd
Suite 100
Wilmington, NC 28411-8130
Phone (910) 686-1099
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890164H | Medicaid | NC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312156800000",
"number": "1639139660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1013 PORTERS NECK RD",
"address_2": "SUITE 100",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284118130",
"telephone_number": "910-686-1099",
"fax_number": "910-686-4715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1013 PORTERS NECK RD",
"address_2": "SUITE 100",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284118130",
"telephone_number": "910-686-1099",
"fax_number": "910-686-4715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRETWELL",
"first_name": "MARSHA",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-24",
"last_updated": "2011-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NC",
"license": "9401190",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890164H",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.