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WENDY L FREDEN PA NPI 1750549358


NPI Information

NPI: 1750549358
Provider Name: WENDY L FREDEN, PA
Classification: Physician Assistant - 363A00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
5414 S BROADWAY AVE
TYLER, TX
ZIP 75703
Phone: (903) 581-1601
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Wendy L Freden, PA is a physician assistant in Tyler, TX. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Wendy L Freden, PA NPI is 1750549358. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5414 S BROADWAY AVE
TYLER, TX
ZIP 75703-335
Phone: (903) 581-1601

The NPI 1750549358 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/30/2008 and was last updated on 12/4/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician AssistantPA02370TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18067NFOTHERTEXASBCBS
2201427604MEDICAIDTEXAS
375-0818167-015OTHERTEXASTRICARE
475-0818167-044OTHERTEXASTRICARE
58070NFOTHERTEXASBCBS
6277212YS6VMEDICARE PINTEXAS
775-0818167-022OTHERTEXASTRICARE
875-2616977-002OTHERTEXASTRICARE
9P01317433MEDICARE OSCAR/CERTIFICATIONTEXAS
10277212YS6PMEDICARE PINTEXAS
11201427606MEDICAIDTEXAS
12201427603MEDICAIDTEXAS
138068NFOTHERTEXASBCBS
14P01317456MEDICARE OSCAR/CERTIFICATIONTEXAS
15277212YNSXMEDICARE PINTEXAS
161750549358OTHERTEXASNPI
1775-2616977-001OTHERTEXASTRICARE
1875-2616977-028OTHERTEXASTRICARE
19201427605MEDICAIDTEXAS
20P01318066MEDICARE OSCAR/CERTIFICATIONTEXAS
21TXB160661MEDICARE PINTEXAS
2275-0818167-048OTHERTEXASTRICARE
2375-1976930-005OTHERTEXASTRICARE
248069NFOTHERTEXASBCBS
25277212YMAFMEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.