Christina Irene Fredenberg, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

29993 Issued in AZ

Practice address

9250 No. 3Rd St.
Suite 4000
Phoenix, AZ 85020

Phone

(602) 633-3800

Fax

(602) 861-3500

NPI assigned

Sep 21, 2006

Sex

Female

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336953600000",
    "number": "1982703757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 NO. 3RD ST",
            "address_2": "SUITE 4000",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85020",
            "telephone_number": "602-633-3800",
            "fax_number": "602-861-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 NO. 3RD ST.",
            "address_2": "SUITE 4000",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85020",
            "telephone_number": "602-633-3800",
            "fax_number": "602-861-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDENBERG",
        "first_name": "CHRISTINA",
        "middle_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2012-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AZ",
            "license": "29993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "740309",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Frazier, PHARMD
• Sara Beth Freberg, PT
• Joseph G Frechen, MD
• Fred D. Holmes, M.D., a Professional Corporation
• Fred Schofield PC
• David Frederick, N.M.D.
• Joyce Time Fredericks
• Jessica Jeannette Frederickson, PHARMD
• Melanie Ann Frederixon, NP-C
• Jefferson Fredy, PHARM.D.

• Anatomic Pathology & Clinical Pathology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Anatomic Pathology & Clinical Pathology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.