PARKER LEWIS FRIEDENTAG DO
NPI 1063355808
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Active since April 14, 2026PECOS Enrolled
350 W THOMAS RD, PHOENIX, AZ 85013(602) 406-3000 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Parker Lewis Friedentag Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARKER LEWIS FRIEDENTAG DO (NPI 1063355808) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1063355808
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePARKER LEWIS FRIEDENTAGCredential: DO
Location Address350 W THOMAS RDPhoenix, AZ 85013-4496
Mailing Address3100 N Central AvePhoenix, AZ 85012-2637 · (602) 812-3120
Sole ProprietorNo
Enumeration DateApril 14, 2026
NPPES CertifiedApril 13, 2026
NPI 1063355808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
350 W THOMAS RD, Phoenix, AZ 85013

Secondary Practice Location 1

Location 12601 E Roosevelt StPhoenix, AZ 85008-4973 · Phone (602) 344-5011

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Parker Lewis Friedentag Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
350 W THOMAS RD
PHOENIX, AZ 85013
Psychiatry & Neurology (Vascular Neurology)
350 W THOMAS RD
PHOENIX, AZ 85013
Student in an Organized Health Care Education/Training Program
350 W THOMAS RD
PHOENIX, AZ 85013
Radiology (Diagnostic Radiology)
350 W THOMAS RD
PHOENIX, AZ 85013
Hospitalist
350 W THOMAS RD
PHOENIX, AZ 85013
Radiology (Diagnostic Radiology)
350 W THOMAS RD, RADIOLOGY DEPARTMENT
PHOENIX, AZ 85013
Hospitalist
350 W THOMAS RD
PHOENIX, AZ 85013
Radiology (Diagnostic Radiology)
350 W THOMAS RD
PHOENIX, AZ 85013

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Parker Friedentag's NPI number?

The NPI number for Parker Friedentag is 1063355808. It was assigned to this individual provider in the NPPES registry on April 14, 2026.

Where is Parker Friedentag located?

Parker Friedentag practices at 350 W Thomas Rd, Phoenix, AZ 85013. The listed phone number is (602) 406-3000.

What is Parker Friedentag's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Parker Friedentag enrolled in Medicare?

Yes. Parker Friedentag is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Parker Friedentag was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.