National Provider Identifier

Fred Wayne Frankenberg II, M.D.

Fred Wayne Frankenberg II, M.D. is listed in the NPPES registry with a primary specialty of Hospitalist Physician in Ithaca, NY and a listed phone number of (607) 274-4011.

NPI 1669436911Ithaca, NYHospitalist Physician

Profile Overview

NPI
1669436911
Provider Type
Individual
Primary Specialty
Hospitalist Physician
Enumeration Date
April 13, 2006
Last Updated
September 26, 2023

Practice Location

  • 101 Dates Dr
  • Ithaca, NY 14850-1342

Phone: (607) 274-4011

Specialties

  • Hospitalist Physician (208M00000X)
  • Hospitalist Physician (208M00000X)
Full Record
NPI
1669436911
Entity Type
Individual
Last Name
Frankenberg
First Name
Fred
Middle Name
Wayne
Name Prefix
Dr.
Name Suffix
II
Credential
M.D.
Mailing Street Address
101 Dates Dr
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-1342
Mailing Country
US
Mailing Phone
(607) 274-4011
Practice Street Address
101 Dates Dr
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-1342
Practice Country
US
Practice Phone
(607) 274-4011
Practice Fax
(607) 274-4198
Enumeration Date
April 13, 2006
Last Updated
September 26, 2023
Sex
Male
Sole Proprietor
No
Certification Date
September 26, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Hospitalist Physician (208M00000X), Hospitalist Physician (208M00000X)
Other Identifiers
003212153A (GA), 266291400 (FL), 364516922 (FL, Tax Identification), ME86861 (FL, State Medical License), 57648 (FL, Blue Cross Blue Shield)