Active NPI
Wendy Douglas Frickel, MD
- Family Medicine Physician
- Ithaca, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 161578
- Practice address
- 101 Dates Drive
Cayuga Medical Ctr
Ithaca, NY 14850 - Phone
- (607) 274-4322
- NPI assigned
- Aug 24, 2005
- Sex
- Female
- Sole proprietor
- No
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 | 161578 | NY | Primary |
Addresses
Primary practice location
101 Dates Drive
Cayuga Medical Ctr
Ithaca, NY 14850
Mailing address
76 Delaware Ave
Damascus, PA 18415
Phone (570) 224-8899
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02632162 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GU
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Georgetown University School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
548 S Marine Corps Dr
Tamuning, GU 96913-3539
Phone (671) 646-5825
Hospital & facility affiliations
- FHP Home Health
- FHP Home Health - Hospice
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 161578 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Takecare Insurance Company Inc. | Family Medicine | Current | Accepting new patients |
| Johns Hopkins Community Physicians, Inc | Family Medicine | Past | Accepting new patients |
| New York Em-I Medical Services PC | Past | Accepting new patients |
Locations
548 S Marine Corps Dr
Tamuning, GU 96913
Phone (671) 646-5824
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| FHP Home Health - Hospice | Hospice | W-2 Managing Employee | Oct 29, 2015 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Tamuning, GU
- NPI 1497859565
W-2 Managing Employee
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.
-
- Health Service Clinic/Center
- Tamuning, GU
- NPI 1972565240
Family Medicine
-
- Emergency Medicine Physician
- Cortland, NY
- NPI 1255457917
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1770518003
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Tamuning, GU
- NPI 1497859565
-
- Home Health Agency
- Tamuning, GU
- NPI 1700979713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204156800000",
"number": "1760475966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 DELAWARE AVE",
"city": "DAMASCUS",
"state": "PA",
"postal_code": "18415",
"telephone_number": "570-224-8899",
"fax_number": "570-224-8899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 DATES DRIVE",
"address_2": "CAYUGA MEDICAL CTR",
"city": "ITHACA",
"state": "NY",
"postal_code": "14850",
"telephone_number": "607-274-4322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRICKEL",
"first_name": "WENDY",
"middle_name": "DOUGLAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-24",
"last_updated": "2008-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "161578",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02632162",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.