DR. DAPHNEY EDDY FREDERIQUE


Address: 500 J Clyde Morris Blvd, Newport News, VA 23601
Phone: 7575942000

DR. DAPHNEY EDDY FREDERIQUE (NPI# 1134325400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134325400
Entity Type Individual
Full Name DR. DAPHNEY EDDY FREDERIQUE
Credential M.D.
Practice Address 500 J Clyde Morris Blvd
Newport News
VA 23601
Mailing Address 3998 Fair Ridge Rd
Suite 300
Fairfax
VA 22033-2921
Practice Telephone 7575942000
Practice Fax Number 7578269028
Mailing Telephone 7032959360
Mailing Fax Number 7037669725
Enumeration Date 2007-06-25
Last Update Date 2015-03-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207LC0200X Anesthesiology
Specialization: Critical Care Medicine
232133 MA Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine 232133 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA 1134325400 05

Office Location

Street Address 500 J CLYDE MORRIS BLVD
City NEWPORT NEWS
State VA
Zip Code 23601

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851397343 Camelia Pana Internal Medicine 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 2005-06-21
1538769724 Jessica L Adams Nurse Practitioner 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 2020-10-28
1902424526 Danh Nguyen Pharmacist 500 J Clyde Morris Blvd, Fourth Floor East, Newport News, VA 23601-1929 2020-07-09
1700402534 Jennifer Towne Noble-treacy Nurse Practitioner 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 2020-06-17
1356962419 Kimberly Mrofchak Student in an Organized Health Care Education/Training Program 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 2020-04-29
1598384380 David Wallington Student in an Organized Health Care Education/Training Program 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 2020-04-11
1588293948 Joshua David Kirbens Student in an Organized Health Care Education/Training Program 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 2020-04-07
1700415148 Gregory Arthur Boyer Student in an Organized Health Care Education/Training Program 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 2020-04-07
1275162836 Alanna D'amelio Student in an Organized Health Care Education/Training Program 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 2020-04-06
1750910428 Rachel Clare Yestrebi Student in an Organized Health Care Education/Training Program 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 2020-04-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740809235 Joshua Alan Albert Student in an Organized Health Care Education/Training Program Riverside Family Medicine Center 10510 Jefferson Ave, Suite A, Newport News, VA 23601 2020-04-14
1053959957 Sisters In Homecare LLC Home Health 716 J Clyde Morris Blvd, Newport News, VA 23601 2019-12-11
1811450638 Kevin Lavender Student in an Organized Health Care Education/Training Program Riverside Brentwood Medical Center, 10510 Jefferson Avenue Suite A, Newport News, VA 23601 2019-04-09
1578025532 Cortlandt Mercy Sellers Student in an Organized Health Care Education/Training Program Riverside Regional Medical Center, 500 J Clyde Morris Blvd, 2 Annex, Newport News, VA 23601 2019-04-01
1407352974 Stephen Leinfelder Student in an Organized Health Care Education/Training Program 500 J. Clyde Morris Blvd., Dept. of Medical Education, Second Floor Annex, Newport News, VA 23601 2018-04-03
1104359132 Nicholas Alexander Austin Student in an Organized Health Care Education/Training Program 500 J. Clyde Morris Blvd., Second Floor Annex, Riverside Transitional Internship Program, Newport News, VA 23601 2017-04-06
1609312883 Bright Nii Lante Lamptey Pharmacist 600 J Clyde and Morris Blvd, Newport News, VA 23601 2017-01-12
1417490517 Justin Chamblee Pharmacist 671 J. Clyde Morris Blvd, Newport News, VA 23601 2016-11-22
1447706080 Megan Elizabeth Cobb Physician Assistant 500 J Clyde Morrisl Blvd, Suite 603, Newport News, VA 23601 2016-09-01
1669815957 Christina Michelle Wray Mcmillan Nurse Practitioner 416 J. Clyde Morris Blvd., Newport News, VA 23601 2013-04-17
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Taxonomy Information

Taxonomy Code 207LC0200X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology
Specialization Critical Care Medicine

Taxonomy Definition

An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1588921506 Lewis Reuven Pasternak Anesthesiology 1400 Mayhurst Blvd, Mc Lean, VA 22102-2235 2012-04-15
1003055484 Nicola Ann Garcia Anesthesiology 319 Hospital Dr Ste 101, Martinsville, VA 24112-1928 2009-02-09
1033378179 David Joseph Stone Anesthesiology 670 Tanners Ln, Earlysville, VA 22936-9679 2008-06-04
1114134327 Cecilia Bergh Anesthesiology 1 Park West Cir, Midlothian, VA 23114-5551 2007-05-17
1902240575 Michael Raymond Kazior Anesthesiology 1250 E Marshall St, Richmond, VA 23298 2013-04-25
1912141151 Andrew Stephen Anderson Anesthesiology 201 N Main St, Farmville, VA 23901-1300 2009-04-30
1053519942 Benjamin Abram Moses Anesthesiology 1215 Lee St, Charlottesville, VA 22908-8952 2007-07-03
1184769267 Stuart M. Lowson Anesthesiology Uva Hospital, Lee Street, 2ndt Floor, Charlottesville, VA 22908-0001 2007-02-20
1730241092 Charles G. Durbin Anesthesiology Uva Hospital, Lee Street, 1st Floor, Charlottesville, VA 22908-0001 2006-12-14
1396781217 Farmville Anesthesia Associates PC Anesthesiology 800 Oak St, Farmville, VA 23901-1199 2006-06-20
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Competitor

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City NEWPORT NEWS
Zip Code 23601

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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