Jerry K Froedge, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

19598 Issued in NC

Practice address

240 18TH Street Cir SE
Hickory, NC 28602-1361

Phone

(828) 322-2550

Fax

(828) 322-7748

NPI assigned

Jan 6, 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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jerryfroedge@cpanc.allscriptsdirect.net

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.

• Catawba Pediatric Associates, P.a.

  • Pediatrics Physician
  • Hickory, NC
  • NPI 1104804459
  NPD (past)

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306281600000",
    "number": "1689652927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 3RD ST NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286015129",
            "telephone_number": "828-322-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 18TH STREET CIR SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286021361",
            "telephone_number": "828-322-2550",
            "fax_number": "828-322-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROEDGE",
        "first_name": "JERRY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2011-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "19598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICAL LICENSE",
            "identifier": "19598",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8934035",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "34035",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Bryan Frenzel II, M.A., PSY.D., LPA
• Todd Lee Fridley, D.O.
• Angela M Frierson, M.D.
• Sylvia Frierson
• Marisa Fritz, LMBT
• Frontline Orthopedic Physical Therapy
• Frye Emergency Medical Associates LLC
• Frye Group Services, PLLC
• Frye Home Infusion
• Frye Regional Medical Center

• Pediatrics Physician in Hickory, NC
• Providers in Hickory, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.

Verify at the official NPI Registry.