Donald J Fruchtman, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2874 Issued in AZ

Practice address

4845 E Thunderbird Rd
Scottsdale, AZ 85254-3556

Phone

(480) 699-7004

Fax

(480) 699-6129

NPI assigned

May 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• 4C Medical Group PLC

  • Multi-Specialty Clinic/Center
  • Scottsdale, AZ
  • NPI 1558654384

  AZ, Family Medicine

  Medicare reassignment NPD
• 4C Medical Group PLC

  • Urgent Care Clinic/Center
  • Carefree, AZ
  • NPI 1669916607
  NPD
• Iatriko, LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1356467658

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1689628513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9590 E IRONWOOD SQUARE DR",
            "address_2": "STE 125",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584583",
            "telephone_number": "480-455-3000",
            "fax_number": "866-819-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 E THUNDERBIRD RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543556",
            "telephone_number": "480-699-7004",
            "fax_number": "480-699-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRUCHTMAN",
        "first_name": "DONALD",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "2874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camilla C Frimann-Dahl
• Theresa J Frimel, NP-C
• Edward Kent Fritch, D.D.S., M.S.D.
• Rachel Elizabeth Fritz, PA-C
• Frogs Physical Therapy LLC
• Susan Fruchtman
• Fruition Counseling and Consulting Services
• Fry Laboratories LLC
• Kathleen Kolt Fry, MD
• Stephen E Fry, M.D.

• All providers in Scottsdale, AZ
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.