Provider Demographics
NPI:1811959315
Name:FRANKENFELD, ERIC (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:
Last Name:FRANKENFELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 SEA PINES RD
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98229-9365
Mailing Address - Country:US
Mailing Address - Phone:360-647-7008
Mailing Address - Fax:360-647-8720
Practice Address - Street 1:112 SEA PINES RD
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98229-9365
Practice Address - Country:US
Practice Address - Phone:360-647-7008
Practice Address - Fax:360-647-8720
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-03
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00019947207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0068906OtherLABOR AND INDUSTRIES
WA38843OtherREGENCE
WA119926001OtherGROUP HEALTH
WA1300524Medicaid
A93320Medicare UPIN
1400349Medicare ID - Type Unspecified