Dr. Allen Paul Friedenstab
Obstetrics & Gynecology (Gynecology)

Address: 3735 11th Cir, Ste 202, Vero Beach, FL 32960-4844
Phone: 7725626566

Dr. Allen Paul Friedenstab (NPI# 1689644064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1689644064
Entity Type Individual
Full Name Dr. Allen Paul Friedenstab
Credential M.D.
Gender Male
Practice Address 3735 11th Cir
Ste 202
Vero Beach
FL 32960-4844
Practice Telephone 7725626566
Practice Fax Number 7725626570
Mailing Address 3735 11th Cir
Ste 202
Vero Beach
FL 32960-4844
Mailing Telephone 7725626566
Mailing Fax Number 7725626570
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-01-26
Last Update Date 2010-02-23

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207VG0400X Obstetrics & Gynecology · Gynecology Allopathic & Osteopathic Physicians ME46913 FL

Other Provider Identifier

State Identifier Issuer Type Code
FL 62613 OTHER BLUE CROSS BLUE SHEILD
FL 650855518 OTHER TAX ID NUMBER
FL K0449 OTHER MEDICARE GROUP NUMBER
FL 160040632 OTHER RAILROAD MEDICARE

Physician Overview

NPI 1689644064
PAC ID by PECOS 5193807774
Professional Enrollment ID I20101020001126
Full Name Allen Paul Friedenstab
Organization Legal Name DRS FRIEDENSTAB AND LUM PA
Phone Number 7725626566
Gender M
Medical School UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year 1981
Primary Specialty OBSTETRICS/GYNECOLOGY
Group Practice PAC ID 9830271055
Number of Group Practice Members 2
Accepts Medicare Assignment Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100105 INDIAN RIVER MEMORIAL HOSPITAL INC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
PQRS_EP_110_1 Preventive Care and Screening: Influenza Immunization 71%
PQRS_EP_111_1 Pneumonia Vaccination Status for Older Adults 99%
PQRS_EP_130_1 Documentation of Current Medications in the Medical Record 100%
PQRS_EP_226_1 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100%
PQRS_EP_48_1 Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older 100%

Office Location

Street Address 3735 11TH CIR
STE 202
City VERO BEACH
State FL
Zip Code 32960-4844

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962400713 Amberly C Paradoa Podiatrist 3735 11th Cir, Suite 201, Vero Beach, FL 32960-4844 2005-07-14
1841643079 Barbara Anne Baute Nurse Practitioner 3735 11th Cir, Suite 201, Vero Beach, FL 32960-4844 2016-07-23
1063760445 Kenneth A Mogell Dmd Pa Dentist 3735 11th Cir, Ste 105, Vero Beach, FL 32960-4844 2012-08-16
1215226147 Timothy John Caballes Podiatrist 3735 11th Cir, Suite 201, Vero Beach, FL 32960-4844 2011-03-31
1841524527 Mark Charles Sultzman Physician Assistant 3735 11th Cir, Suite 201, Vero Beach, FL 32960-4844 2009-09-28
1053583856 Amberly C Paradoa Dpm Pa Podiatrist 3735 11th Cir, Suite 201, Vero Beach, FL 32960-4844 2008-04-01
1740478684 John M Sarbak Md Pa Plastic Surgery 3735 11th Cir, Suite 203, Vero Beach, FL 32960-4844 2007-10-04
1083742274 Drs Friedenstab & Lum Pa Specialist 3735 11th Cir, Ste 202, Vero Beach, FL 32960-4844 2007-03-01
1790828440 Laurie Welton Do Pa Internal Medicine 3735 11th Cir, Suite 201, Vero Beach, FL 32960-4844 2007-02-14
1144394701 John Michael Sarbak Plastic Surgery 3735 11th Cir, Suite 203, Vero Beach, FL 32960-4844 2006-11-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255819157 Toya Ann Alder Nurse Practitioner 3745 11th Cir Ste 105, Vero Beach, FL 32960 2018-08-02
1891208872 Fresenius Medical Care Vero Beach, LLC Clinic/Center 1515 Indian River Blvd Ste A101, Vero Beach, FL 32960 2017-11-13
1972016103 Rer Enterprises, Inc. Durable Medical Equipment & Medical Supplies 2436 Us 1, Vero Beach, FL 32960 2017-11-09
1407388978 Haley Elizabeth Stewart Counselor 1925 20th Street, Vero Beach, FL 32960 2017-04-03
1861932949 Daniel Martin Specialist/Technologist 4025 20th Street, Vero Beach, FL 32960 2017-03-08
1770957367 Gail Jaffe Satuloff Counselor Terry Mindfulness Center, 333 17th St., Suite 2t, Vero Beach, FL 32960 2015-11-19
1104213172 Kimberly Ann Aikey Massage Therapist 1715 37th Place #3, Vero Beach, FL 32960 2015-04-17
1992128482 Jean Luc Franck Internal Medicine 920 37th Pl Ste 105, Vero Beach, FL 32960 2014-02-04
1417386624 Ocean Addiction Recovery Services, LLC Anesthesiology 1705 19 Pl, Ste E-2, Vero Beach, FL 32960 2013-11-07
1609203835 Cynthia S. Crawford, M.d. Pa Physical Medicine & Rehabilitation 1986 35th Avenue, Vero Beach, FL 32960 2013-10-02
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Taxonomy Information

Taxonomy Code 207VG0400X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528096823 D. Jane Henderson Obstetrics & Gynecology 2859 Saint Barts Sq, Vero Beach, FL 32967-7583 2006-06-28
1659356194 Carlos A Salup Obstetrics & Gynecology 920 37th Pl, Suite 105, Vero Beach, FL 32960-6573 2005-12-07
1689112765 Indian River Health Services, Inc. Obstetrics & Gynecology 3450 11th Ct, Suite 304, Vero Beach, FL 32960-5012 2017-02-08
1891108338 Carlos A. Salup, M.d. P.a. Obstetrics & Gynecology 920 37th Pl, Suite 105, Vero Beach, FL 32960-6573 2014-06-03
1447433420 Karen L Ferguson Md Pa Obstetrics & Gynecology 3755 7th Ter, Suite 302a, Vero Beach, FL 32960-6528 2007-12-12
1225169709 Karen Louise Ferguson Obstetrics & Gynecology 3755 7th Terrace, Suite 302a, Vero Beach, FL 32960-6557 2007-03-08
1043341514 Audrey Lynn Richards Obstetrics & Gynecology 1300 36th St, Suite D, Vero Beach, FL 32960-4898 2007-03-08
1225108392 Jane Henderson Md Pa Obstetrics & Gynecology 960 37th Pl, Suite 102, Vero Beach, FL 32960-6586 2006-11-08
1891701355 Jennifer Moore Obstetrics & Gynecology 1553 Us Highway 1, Vero Beach, FL 32960-5735 2006-08-01
1467422832 Katharine S Lum Obstetrics & Gynecology 3735 11th Cir, Ste 202, Vero Beach, FL 32960-4844 2006-01-26
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Competitor

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City VERO BEACH
Zip Code 32960

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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