Active NPI
Cody Freudenthal, CRNA
- Certified Registered Nurse Anesthetist
- Fargo, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R42602
- Practice address
- 736 Broadway N
Fargo, ND 58102-4421 - Phone
- (701) 234-2000
- Fax
- (701) 234-2345
- NPI assigned
- Mar 29, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R42602 | ND | Primary |
Addresses
Primary practice location
736 Broadway N
Fargo, ND 58102-4421
Mailing address
PO Box 2168
Fargo, ND 58107-2168
Phone (701) 234-2119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
910 E 20TH St
Sioux Falls, SD 57105-1012
Phone (605) 334-6730
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.59 of 100
- Quality
- 100
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 85.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie Lakes Health Care System Inc | Current | Accepting new patients | |
| Sioux Falls Specialty Hospital, LLP | Current | Accepting new patients | |
| Sioux Falls Specialty Hospital, LLP | Current | Accepting new patients | |
| St Benedict Health Center | Current | Accepting new patients | |
| Prairie Lakes Health Care System Inc | Current | Accepting new patients | |
| St. Benedict Health Center | Current | Accepting new patients |
Locations
401 W Glynn Dr
Parkston, SD 57366
Phone (605) 928-3311
910 E 20th St
Sioux Falls, SD 57105
Phone (602) 338-7098
401 9th Ave NW
Watertown, SD 57201
Phone (605) 886-9317
Organizations & group practices 6
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.
-
- Special Hospital
- Sioux Falls, SD
- NPI 1316946809
-
dba Sanford Watertown Specialty Clinic
- Rural Acute Care Hospital
- Watertown, SD
- NPI 1720166002
-
dba Avera St. Benedict Certified Rural Health Clinic, Parkston
- Rural Health Clinic/Center
- Parkston, SD
- NPI 1295758266
-
dba Sanford Health Castlewood Clinic
- Family Medicine Physician
- Castlewood, SD
- NPI 1578369070
-
dba Sioux Falls Urgent Care
- Primary Care Clinic/Center
- Sioux Falls, SD
- NPI 1447780796
-
dba Avera St. Benedict Certified Rural Health Clinic, Lake Andes
- Rural Health Clinic/Center
- Lake Andes, SD
- NPI 1114931797
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Sioux Falls, SD
- NPI 1316946809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473292800000",
"number": "1972965903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2168",
"city": "FARGO",
"state": "ND",
"postal_code": "581072168",
"telephone_number": "701-234-2119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 BROADWAY N",
"city": "FARGO",
"state": "ND",
"postal_code": "581024421",
"telephone_number": "701-234-2000",
"fax_number": "701-234-2345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREUDENTHAL",
"first_name": "CODY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-29",
"last_updated": "2016-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ND",
"license": "R42602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.