Robert E Fridrich, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

203 Issued in AZ

Practice address

518 E Whitehouse Canyon Rd 170
Green Valley, AZ 85614-0544

Phone

(520) 648-0444

Fax

(520) 648-6920

NPI assigned

Jun 13, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461715200000",
    "number": "1912901380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 E WHITEHOUSE CANYON RD STE 170",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856140544",
            "telephone_number": "520-648-0444",
            "fax_number": "520-648-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 E WHITEHOUSE CANYON RD 170",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856140544",
            "telephone_number": "520-648-0444",
            "fax_number": "520-648-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIDRICH",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2016-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189812",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "DB8932",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fernando A Felix, D.C.
• Erin Elizabeth Fleming, DPT
• Terence J Fowler, DDS
• Mary Ellen Francl, NP
• Elisabetta May Franzone
• Maria Rosario Garcia, D.C.
• Leslie Beth Gatineau, LMT
• Craig Gayle
• Anthony Paul Gaziano, DPT, PT
• Steven Walter Geise, DO

• Podiatrist in Green Valley, AZ
• Providers in Green Valley, AZ by specialty
• Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.