DAVID E FREDERICK (NPI# 1215035662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215035662 |
| Entity Type | Individual |
| Full Name | DAVID E FREDERICK |
| Credential | CADC III, CCSII, IDP |
| Practice Address |
230 Park St Wautoma WI 54982-9031 |
| Mailing Address |
230 Park St Po Box 1230 Wautoma WI 54982-9031 |
| Practice Telephone | 9207876550 |
| Practice Fax Number | 9207870421 |
| Mailing Telephone | 9207876550 |
| Mailing Fax Number | 9207870421 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
2097 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39374000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275943987 | David Frederick | Naturopath | 1815 E Georgia Ave, Phoenix, AZ 85016-3313 | 2014-05-02 |
| 1912207614 | David William Frederick | Family Medicine | 726 Buckwood Ln, Lititz, PA 17543-8632 | 2010-10-27 |
| 1205824893 | David Eugene Frederick | Psychologist | 1218 5th Ave, Huntington, WV 25701-2234 | 2005-10-09 |
| 1306371364 | David Frederick | Psychologist | 2340 Eastern Blvd, York, PA 17402-2897 | 2017-04-27 |
| 1669820296 | David Grant Frederick | Psychiatry & Neurology | Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 | 2016-05-24 |
| 1053748103 | David Lawrence Frederick | Pharmacist | 3741 Highway 14, Millbrook, AL 36054-1905 | 2013-10-03 |
| 1821334244 | David Layne Frederick Jr. | Military Health Care Provider | 1050 Jabarrah Ave, Seymour Johnson A F B, NC 27531-2310 | 2012-12-13 |
| 1104189026 | David Frederick | Internal Medicine | 919 E 32nd St, Austin, TX 78705-2703 | 2012-06-18 |
| Street Address |
230 PARK ST |
| City | WAUTOMA |
| State | WI |
| Zip Code | 54982-9031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710961701 | Bobbie J Bleskey | Counselor | 230 Park St, Wautoma, WI 54982-9031 | 2005-12-02 |
| 1720628431 | Matthew J Trecroci | Counselor | 230 Park St, Wautoma, WI 54982-9031 | 2020-01-10 |
| 1780238956 | Keela Marie Phillips | Social Worker | 230 Park St, Wautoma, WI 54982-9031 | 2019-07-26 |
| 1760947881 | Clara L Voigtlander | Social Worker | 230 Park St, Wautoma, WI 54982-9031 | 2019-02-02 |
| 1558899187 | Katrina L Dorow Stevens | Counselor | 230 Park St, Wautoma, WI 54982-9031 | 2017-05-26 |
| 1043675127 | Andrea Lee Behnke | Counselor | 230 Park St, Wautoma, WI 54982-9031 | 2015-12-16 |
| 1982076618 | William James Harley | Counselor | 230 Park St, Wautoma, WI 54982-9031 | 2015-10-21 |
| 1174952352 | Janelle Kathleen Krueger | Counselor | 230 Park St, Wautoma, WI 54982-9031 | 2013-11-07 |
| 1801157128 | Kate Elizabeth Onsgard | Counselor | 230 Park St, Wautoma, WI 54982-9031 | 2012-06-04 |
| 1114205481 | Jennifer A Ward | Social Worker | 230 Park St, Wautoma, WI 54982-9031 | 2011-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780919506 | Virginia Ellen Moon | Counselor | 203 South 16th Court, Wautoma, WI 54982 | 2009-10-13 |
| 1528232832 | County of Waushara | Public Health or Welfare | 230 W. Park Street, Wautoma, WI 54982 | 2008-04-17 |
| 1770770125 | Waushara County Government | Case Management | 205 W Elm St, Wautoma, WI 54982 | 2007-10-01 |
| 1063606325 | Wautoma Area School District | Local Education Agency (LEA) | 556 S Cambridge St, Wautoma, WI 54982 | 2007-08-30 |
| 1013036433 | David J Brown | Dentist | 400 S Townline Road, Box 1440, Wautoma, WI 54982 | 2007-03-28 |
| 1285773820 | Chiroplus Complementary Healthcare Centers, LLC | Chiropractor | W7841 State Rd 21 &73, Wautoma, WI 54982 | 2007-02-06 |
| 1881767887 | Louis Francis Cooper | Psychologist | W7199 Chicago Road, Wautoma, WI 54982 | 2006-11-16 |
| 1902840069 | Ann E. Moore | Pharmacist | 900 E. Divison St, Aurora Pharmacy #300, Wautoma, WI 54982 | 2006-06-16 |
| 1790737443 | Waushara Industries, Inc. | Non-emergency Medical Transport (VAN) | 210 E Townline Rd, Wautoma, WI 54982 | 2006-05-17 |
| 1164414736 | Kim Ownby | Physician Assistant | N2934 Hwy 22 North, Wautoma, WI 54982 | 2005-08-18 |
| Find all providers in zip 54982 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659479939 | Susan Shemanski | Counselor | 230 W Park St, Wautoma, WI 54982-9031 | 2006-09-20 |
| 1710961701 | Bobbie J Bleskey | Counselor | 230 Park St, Wautoma, WI 54982-9031 | 2005-12-02 |
| 1881227031 | Jane Oligny | Counselor | 400 S Townline Rd, Wautoma, WI 54982-6922 | 2020-02-17 |
| 1720628431 | Matthew J Trecroci | Counselor | 230 Park St, Wautoma, WI 54982-9031 | 2020-01-10 |
| 1649767518 | Terri L Billington | Counselor | 400 S Townline Rd, Wautoma, WI 54982-6922 | 2018-04-17 |
| 1902316227 | Robin M West | Counselor | 400 S Townline Rd, Wautoma, WI 54982-6922 | 2017-10-02 |
| 1043675127 | Andrea Lee Behnke | Counselor | 230 Park St, Wautoma, WI 54982-9031 | 2015-12-16 |
| 1477971190 | W George Wojcik | Counselor | 719 W Main St, Wautoma, WI 54982-8503 | 2014-03-31 |
| 1174952352 | Janelle Kathleen Krueger | Counselor | 230 Park St, Wautoma, WI 54982-9031 | 2013-11-07 |
| 1396971842 | Brianna J Kulibert | Counselor | 230 Park St, Wautoma, WI 54982-9031 | 2009-06-10 |
| Find all providers in WAUTOMA | ||||
Please comment or provide details below to improve the information on DAVID E FREDERICK.
| 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.