FRED W. FENDER M.D. – NPI #1558300491
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

FRED FENDER is a physician located in MERIDIAN, ID. NPPES has assigned the NPI number 1558300491 to FRED FENDER on June 06, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 10 years ago on Nov 10, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FRED FENDER below.

NPI Profile for
FRED W. FENDER

NPI Number
1558300491
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
FRED W. FENDER
Credentials
M.D.
Primary location
3025 W CHERRY LANE
MERIDIAN, ID 83642
Phone: (208) 302-6400 Fax: (208) 302-6455
Mailing address
3340 E GOLDSTONE WAY
MERIDIAN, ID 83642-1026
Phone: (208) 302-6400 Fax: (208) 302-6455
Sole Proprietor
No
Updated
Identifiers

Identifiers for FRED FENDER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDID002576400
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
ID M4500

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.