Mary F Fredenberg (NPI# 1134140999, PAC ID# 1557356086) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1134140999 |
| PAC ID by PECOS | 1557356086 |
| Professional Enrollment ID | I20100324000603 |
| Full Name | Mary F Fredenberg |
| Organization Legal Name | SOUTHWEST SKIN SPECIALISTS LLC |
| Address |
14155 N 83rd Ave Suite 110 Peoria AZ 85381-5640 |
| Phone Number | 6232150911 |
| Gender | F |
| Medical School | UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 9739079864 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 14155 N 83rd Ave, Suite 110, Peoria, AZ 85381-5640 | 6232150911 | SOUTHWEST SKIN SPECIALISTS LLC |
| Organization Legal Name | SOUTHWEST SKIN SPECIALISTS LLC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa M Greenan | Physician Assistant | Southwest Skin Specialists LLC | 10200 N 92nd St, Suite 205, Scottsdale, AZ 85258-4536 |
| David J Glembocki | Pathology | Southwest Skin Specialists LLC | 5010 E Shea Blvd, Suite 130, Scottsdale, AZ 85254-4681 |
| Amanda C Rainwater | Dermatology | Southwest Skin Specialists LLC | 11130 N Tatum Blvd, Suite 100, Phoenix, AZ 85028-1630 |
| Florencia Anatelli | Pathology | Southwest Skin Specialists LLC | 5010 E Shea Blvd, Suite 130, Scottsdale, AZ 85254-4681 |
| Haley E Meier | Physician Assistant | Southwest Skin Specialists LLC | 10200 N 92nd St, Suite 205, Scottsdale, AZ 85258-4536 |
| Miriam P Cummings | Dermatology | Southwest Skin Specialists LLC | 11130 N Tatum Blvd, Suite 100, Phoenix, AZ 85028-1630 |
| Adam T Sorensen | Dermatology | Southwest Skin Specialists LLC | 14155 N 83rd Ave, Suite 110, Peoria, AZ 85381-5640 |
| Jennifer L Sawaya | Dermatology | Southwest Skin Specialists LLC | 4400 N 32nd St, Suite 140, Phoenix, AZ 85018-3964 |
| Joseph M Giancola | Dermatology | Southwest Skin Specialists LLC | 11130 N Tatum Blvd, Suite 100, Phoenix, AZ 85028-1630 |
| Margaret A Kessler | Dermatology | Southwest Skin Specialists LLC | 1331 N 7th St, Suite 250, Phoenix, AZ 85006-2722 |
| Street Address |
14155 N 83RD AVE SUITE 110 |
| City | PEORIA |
| State | AZ |
| Zip | 85381-5640 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen F Ortaldo | Family Medicine | American Current Care of Arizona Pa | 14155 N 83rd Ave, Bldg 8 Suite 148, Peoria, AZ 85381-5652 |
| Daljit S Bal | Gastroenterology | Arizona Gastroenterology Clinic LLC | 14155 N 83rd Ave, Suite 122, Peoria, AZ 85381-5640 |
| Adam T Sorensen | Dermatology | Southwest Skin Specialists LLC | 14155 N 83rd Ave, Suite 110, Peoria, AZ 85381-5640 |
| Darren J Grozier | Chiropractic | 14155 N 83rd Ave, Suite 102, Peoria, AZ 85381-5640 | |
| Timothy F Coyne | Physician Assistant | Arizona Center for Hematology and Oncology Plc | 14155 N 83rd Ave, Suite 127, Peoria, AZ 85381-5652 |
| Douglas J Heiner | Dermatology | Southwest Skin Specialists LLC | 14155 N 83rd Ave, Suite 110, Peoria, AZ 85381-5640 |
| Theresa T Magne | Dermatology | Southwest Skin Specialists LLC | 14155 N 83rd Ave, Suite 110, Peoria, AZ 85381-5640 |
| Amber R Senator | Nurse Practitioner | Arizona Gastroenterology Clinic LLC | 14155 N 83rd Ave, Suite 122, Peoria, AZ 85381-5640 |
| Jason M Samuelian | Radiation Oncology | Arizona Center for Hematology and Oncology Plc | 14155 N 83rd Ave, Suite 127, Peoria, AZ 85381-5652 |
| Rachel Lauren Cetta | Dermatology | Southwest Skin Specialists LLC | 14155 N 83rd Ave, Suite 110, Peoria, AZ 85381-5640 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Albert N Kim | Chiropractic | 8345 W Thunderbird Rd, B103, Peoria, AZ 85381-3668 | |
| Paulina Simon | Nurse Practitioner | Agape Primary Care Pllc | 14074 N 90th Dr, Peoria, AZ 85381-3678 |
| Jane M Kinstler | Nurse Practitioner | Agape Primary Care Pllc | 14074 N 90th Dr, Peoria, AZ 85381-3678 |
| Ramin Fathi | Dermatology | Beatrice Keller Clinic, PC | 13943 N 91st Ave Bldg C, Peoria, AZ 85381-3688 |
| Iain A Black | Physician Assistant | Valley Arthritis Care LLC | 13943 N 91st Ave Bldg I, Peoria, AZ 85381-3688 |
| Deborah E Zell | Dermatology | Beatrice Keller Clinic, PC | 13943 N 91st Ave, C101, Peoria, AZ 85381-3688 |
| Troy C Ellis | Dermatology | Beatrice Keller Clinic, PC | 13943 N 91st Ave Bldg C, Peoria, AZ 85381-3688 |
| Artthapol Tanphaichitr | Dermatology | Beatrice Keller Clinic, PC | 13943 N 91st Ave, C101, Peoria, AZ 85381-3688 |
| Christina A Foster | Physician Assistant | Valley Arthritis Care LLC | 13943 N 91st Ave Bldg I, Peoria, AZ 85381-3688 |
| Brady P Nelson | Physician Assistant | Valley Arthritis Care LLC | 13943 N 91st Ave Bldg I, Peoria, AZ 85381-3688 |
| Find all physicians in zip 85381 | |||
| City | PEORIA |
| Zip Code | 85381 |
| Specialty | DERMATOLOGY |
| City + Specialty | PEORIA + DERMATOLOGY |
Please comment or provide details below to improve the information on Mary F Fredenberg.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.