Individual provider Active NPI

Megan Fretham, DO

  • Pediatrics Physician
  • Orange City, IA
National Provider Identifier
1679927768
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
DO-05394 Issued in IA
Practice address
1000 Lincoln Circle
Orange City, IA 51041-1836
Phone
(712) 737-4984
NPI assigned
Apr 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X DO-05394 IA Primary

Addresses

Primary practice location

1000 Lincoln Circle
Orange City, IA 51041-1836

Mailing address

1000 Lincoln Circle
Orange City, IA 51041
Phone (712) 737-4984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20190724002668 IA Practitioner - Pediatric Medicine 5294027843 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orange City Municipal Hospital Current Accepting new patients
Orange City Municipal Hospital Current Accepting new patients
Orange City Municipal Hospital Pediatrics Current Accepting new patients

Locations

719 8th St SE
Orange City, IA 51041
Phone (712) 707-6070

1000 Lincoln Cir SE
Ste 100
Orange City, IA 51041
Phone (712) 737-2000

1000 Lincoln Cir SE
Orange City, IA 51041
Phone (712) 737-2000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1679927768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LINCOLN CIRCLE",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "51041",
            "telephone_number": "712-737-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LINCOLN CIRCLE",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411836",
            "telephone_number": "712-737-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRETHAM",
        "first_name": "MEGAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-15",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IA",
            "license": "DO-05394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, IA

Sources for this page

Verify at the official NPI Registry.