Active NPI
Florence Robert Fruehan, DO
- Family Medicine Physician
- Palm Coast, FL
National Provider Identifier
1659342897
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Sep 19, 2019.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS5359
- Practice address
- 9 Pine Cone Dr
Ste 102
Palm Coast, FL 32137-8686 - Phone
- (386) 445-6191
- Fax
- (386) 445-3916
- NPI assigned
- Jan 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | OS5359 | FL | Primary |
Addresses
Primary practice location
9 Pine Cone Dr
Ste 102
Palm Coast, FL 32137-8686
Mailing address
9 Pine Cone Dr
Ste 102
Palm Coast, FL 32137-8686
Phone (386) 445-6191
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital 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.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213574400000",
"number": "1659342897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 PINE CONE DR",
"address_2": "STE 102",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321378686",
"telephone_number": "386-445-6191",
"fax_number": "386-445-3916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 PINE CONE DR",
"address_2": "STE 102",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321378686",
"telephone_number": "386-445-6191",
"fax_number": "386-445-3916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRUEHAN",
"first_name": "FLORENCE",
"middle_name": "ROBERT",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2008-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS5359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.