Allen Paul Friedenstab, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

ME46913 Issued in FL

Practice address

777 37TH St Ste C101
Vero Beach, FL 32960-7301

Phone

(772) 562-6566

Fax

(772) 562-6570

NPI assigned

Jan 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1689644064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 37TH ST STE C101",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607301",
            "telephone_number": "772-562-6566",
            "fax_number": "772-562-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 37TH ST STE C101",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607301",
            "telephone_number": "772-562-6566",
            "fax_number": "772-562-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDENSTAB",
        "first_name": "ALLEN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME46913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "K0449",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "160040632",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "62613",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fred J Petrilla Jr PHD & Associates PA
• Gabrielle E Freeman
• Fresenius Medical Care Comprehensive CKD Services Inc (CKD Services of Vero Beach)
• Fresenius Medical Care Vero Beach, LLC (Fresenius Kidney Care Vero Beach)
• Fresh Horizons Alf
• Ian Blair Fries, M.D.
• Susan Blair Fries, D.C.
• April Fritz
• Elizabeth Ann Fryer, PT, DPT
• Roxana Fugleberg, PT

• Gynecology Physician in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.