Organization Active NPI

Fridie and Associates, Inc

  • Foot & Ankle Surgery Podiatrist
  • Edinburg, TX
National Provider Identifier
1962724336
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1177 Issued in TX
Legal business name
FRIDIE AND ASSOCIATES, INC
Practice address
2808 Fountain Plaza Blvd
Edinburg, TX 78539-8031
Phone
(956) 318-1010
NPI assigned
Feb 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2010

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

Authorized official

Name
Dr. David H Fridie II, D.PM.
Title
Ceo
Phone
(956) 318-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 1177 TX Primary

Addresses

Primary practice location

2808 Fountain Plaza Blvd
Edinburg, TX 78539-8031

Mailing address

PO Box 3820
Edinburg, TX 78540-3820
Phone (956) 318-1010

Other identifiers 1

IdentifierTypeStateIssuer
110401003MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267056000000",
    "number": "1962724336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3820",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785403820",
            "telephone_number": "956-318-1010",
            "fax_number": "956-381-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 FOUNTAIN PLAZA BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398031",
            "telephone_number": "956-318-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIDIE AND ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-25",
        "last_updated": "2010-02-25",
        "status": "A",
        "authorized_official_last_name": "FRIDIE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "956-318-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.PM."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110401003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; 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.