Active NPI
Frederick M Ilgenfritz, M.D.
- Surgery Physician
- Hamilton, MT
National Provider Identifier
1861446379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 8776
- Practice address
- 1150 Westwood Dr
Suite C
Hamilton, MT 59840-5318 - Phone
- (406) 363-4574
- Fax
- (406) 363-4569
- NPI assigned
- May 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 8776 | MT | Primary |
Addresses
Primary practice location
1150 Westwood Dr
Suite C
Hamilton, MT 59840-5318
Mailing address
1224 W Main St
Hamilton, MT 59840-2338
Phone (406) 375-4823
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861446379 | Medicaid | MT | |
| 1861446379 | Medicaid | WA | |
| 1861446379 | Medicaid | ID | |
| 026384 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8776 | MT | MD | Surgery Physician |
Interoperability endpoints
- fredilgenfritz@mdmh.cernerdirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446681600000",
"number": "1861446379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 W MAIN ST",
"city": "HAMILTON",
"state": "MT",
"postal_code": "598402338",
"telephone_number": "406-375-4823",
"fax_number": "406-375-4846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 WESTWOOD DR",
"address_2": "SUITE C",
"city": "HAMILTON",
"state": "MT",
"postal_code": "598405318",
"telephone_number": "406-363-4574",
"fax_number": "406-363-4569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILGENFRITZ",
"first_name": "FREDERICK",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2015-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MT",
"license": "8776",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1861446379",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1861446379",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1861446379",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "026384",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hamilton, MT
- Rebecca Kanady Huston, LPC, LCPC
- Jennifer Michelle Huttie, ARNP
- Amy Catherin Hutton, PCLC
- Jordan McLaine Icenoggle, MD
- Treve Michael Icenoggle, MD
- Ilhc of Hamilton, LLC
- Infinity Health Physical Therapy and Wellness
- Lawrence J. Ingvalson, PTA
- Bonnie Mae Inks, MA, LAC
- Intergenerational Living & Health Care, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.