# IVAR LESLIE FRITHSEN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1891803755
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 15569 | NH | — |
| 207Q00000X | Family Medicine Physician | 25940 | SC | Yes |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 09/30/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 259400 | — | SC |
| 05 | — | 3075101 | — | NH |
| 05 | — | 32001211 | — | NH |