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FRED W FENDER M.D.
NPI 1558300491
Family Medicine in Meridian, ID

Active since June 06, 2006
3025 W CHERRY LANE, MERIDIAN, ID 83642(208) 302-6400(208) 302-6455 Get Directions Write a Review

NPPES record last updated: November 10, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fred W Fender M.d. NPPES

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

FRED W FENDER M.D. (NPI 1558300491) is an individual family medicine provider in Meridian, Idaho, licensed in Idaho (M4500) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1558300491
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameFRED W FENDERCredential: M.D.
Location Address3025 W CHERRY LANEMeridian, ID 83642
Mailing Address3340 E Goldstone WayMeridian, ID 83642-1026 · (208) 302-6400 · Fax (208) 302-6455
Phone(208) 302-6400
Fax(208) 302-6455
Sole ProprietorNo
Enumeration DateJune 6, 2006
Last NPPES UpdateNovember 10, 2016
✔ NPI 1558300491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ID · M4500
Definition
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.
3025 W CHERRY LANE, Meridian, ID 83642
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Other Identifiers 3

Medicare UPINB63653
Medicare ID-Type Unspecified1116383ID
Medicaid002576400ID

Other Providers at the Same Location NPPES 12

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

SIS E OSTOLASA PA
Physician Assistant (Medical)
3025 W CHERRY LANE, STE B
MERIDIAN, ID 83642
Ada County (208) 302-6450
DR. AARON DUNHAM MD
Internal Medicine (Sleep Medicine)
3025 W CHERRY LANE, STE 204
MERIDIAN, ID 83642
Ada County (208) 302-3300
ALBERT DONALD BICKFORD PA-C
Physician Assistant
3025 W CHERRY LANE, STE B
MERIDIAN, ID 83642
Ada County (208) 367-8550
KATRINA MERRELL P.A.- C
Physician Assistant
3025 W CHERRY LANE, STE B
MERIDIAN, ID 83642
Ada County (208) 302-6400
NATHAN JAMES RICHARD PA
Physician Assistant (Medical)
3025 W CHERRY LANE, STE B
MERIDIAN, ID 83642
Ada County (208) 302-6400
KRISTINA HUFFAKER PA-C
Physician Assistant (Medical)
3025 W CHERRY LANE, STE B
MERIDIAN, ID 83642
Ada County (208) 302-6400
MR. CORY M MARTIN PA-C
Physician Assistant
3025 W CHERRY LANE, STE B
MERIDIAN, ID 83642
Ada County (208) 367-8550
MR. CHAD DENNIS TALFORD PA-C
Physician Assistant
3025 W CHERRY LANE
MERIDIAN, ID 83642
Ada County (208) 302-6400

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 Fred Fender's NPI number?

The NPI number for Fred Fender is 1558300491. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Fred Fender located?

Fred Fender practices at 3025 W Cherry Lane, Meridian, ID 83642. The listed phone number is (208) 302-6400.

What is Fred Fender's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Fred Fender was last updated on November 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.