NORFOLK GASTROENTEROLOGY, PC (NPI# 1306221981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306221981 |
| Entity Type | Organization |
| Organization Name | NORFOLK GASTROENTEROLOGY, PC |
| Practice Address |
31 Pine St Suite # 300 Norfolk MA 02056-1642 |
| Practice Telephone | 5086233700 |
| Practice Fax Number | 5086233701 |
| Mailing Telephone | 5086233700 |
| Mailing Fax Number | 5086233701 |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-07-28 |
| Authorized Official Name | DR. DEREK FREDERICKSON (PRESIDENT) |
| Authorized Official Telephone | 5086233700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | NORFOLK GASTROENTEROLOGY, PC | 31 Pine St., Norfolk, MA 02056 |
| Street Address |
31 PINE ST SUITE # 300 |
| City | NORFOLK |
| State | MA |
| Zip Code | 02056-1642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366440794 | Mohamad R El-zaru | Internal Medicine | 31 Pine St, Norfolk, MA 02056-1642 | 2005-07-11 |
| 1225509920 | Lynda Cripps | Nurse Practitioner | 31 Pine St, Norfolk, MA 02056-1679 | 2018-12-07 |
| 1598136855 | Orthopaedic Specialists of Massachusetts, LLC | Orthopaedic Surgery | 31 Pine St, Norfolk, MA 02056-1642 | 2015-10-13 |
| 1841686474 | Pondville Physical Therapy | Physical Therapist | 31 Pine St, Suite 102, Norfolk, MA 02056-1642 | 2015-04-10 |
| 1093119240 | Cnv Bidco LLC | Internal Medicine | 31 Pine St, Suite 204, Norfolk, MA 02056-1642 | 2014-10-17 |
| 1477963460 | Pondville Medical Associates, LLC | Internal Medicine | 31 Pine St, Norfolk, MA 02056-1642 | 2014-04-30 |
| 1134421522 | Quest Diagnostics Massachusetts LLC | Clinical Medical Laboratory | 31 Pine St, 1st Floor, Rear, Norfolk, MA 02056-1642 | 2010-11-17 |
| 1033261276 | New England Nephrology Associates | Internal Medicine | 31 Pine St, Suite 204, Norfolk, MA 02056-1642 | 2007-01-17 |
| 1447302682 | Ne Nephrology Home Care Associates | Internal Medicine | 31 Pine St, Suite 204, Norfolk, MA 02056-1642 | 2007-01-17 |
| 1962449959 | John Thomas Frasca | Surgery | 31 Pine St, Suite 202, Norfolk, MA 02056-1642 | 2006-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245791698 | Marian Dennison Taylor | Acupuncturist | 43 Maple Street, Norfolk, MA 02056 | 2019-03-28 |
| 1174040554 | Kim Byda | Registered Nurse | 19 Old Mill Rd, Norfolk, MA 02056 | 2017-08-25 |
| 1063793370 | Jason Brill | Social Worker | 1 Industries Drive, Norfolk, MA 02056 | 2011-08-31 |
| 1609088194 | Elizabeth C Mitro | Occupational Therapist | 15 Willow Place, Norfolk, MA 02056 | 2007-05-04 |
| 1740325638 | Anthony B. Payne | Dentist | Mci-norfolk, 2 Clark St., Norfolk, MA 02056 | 2007-02-20 |
| 1528133485 | Catherine May O Keeffe | Physical Therapist | 227 Dedham St, Physical Therapy & Sports Rehab Inc, Norfolk, MA 02056 | 2006-11-22 |
| 1881789402 | Rebecca Ann Lubelczyk | Internal Medicine | 28 Clark Street, Bay State Correctional Center, Norfolk, MA 02056 | 2006-10-03 |
| 1467416958 | Ahmed Basheer | Internal Medicine | 31 Pine Street, Suite 300, Norfolk, MA 02056 | 2006-04-13 |
| 1649684713 | Katherine Jane Karol | Nurse Practitioner | 2 Clark St, Norfolk, MA 02056 | 2014-06-17 |
| 1346533080 | Joseph William Travers Jr. | Dentist | 2 Clark St, Norfolk, MA 02056 | 2011-05-26 |
| Find all providers in zip 02056 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851470553 | Nmg LLC | Internal Medicine | 3901 W Norfolk Ave Ste D, Norfolk, NE 68701-9211 | 2006-11-03 |
| 1548269483 | Alex Olabode Williams | Internal Medicine | 400 Gresham Dr, Suite 303, Norfolk, VA 23507-1901 | 2005-07-20 |
| 1144539941 | Marechal-neil Brooks,m.d.,p.c. | Internal Medicine | 930 Majestic Ave, Ste.210, Norfolk, VA 23504-4055 | 2010-09-28 |
| 1639346083 | Fadi S Rzouq | Internal Medicine | 109 N 29th St, Ste 1, Norfolk, NE 68701-3251 | 2008-05-14 |
| 1659563799 | Gastrointestinal and Liver Specialists of Tidewater, Pllc | Internal Medicine | 885 Kempsville Rd, Suite 114, Norfolk, VA 23502-3800 | 2007-08-13 |
| 1477666147 | Caplan Colonoscopy & Endoscopy, LLC | Internal Medicine | 400 Gresham Dr, Ste 205, Norfolk, VA 23507-1901 | 2006-08-16 |
| 1629089768 | Marechal-neil Brooks | Internal Medicine | 930 Majestic Ave, Ste. 210, Norfolk, VA 23504-4055 | 2006-08-11 |
| 1154331841 | David A Dudley | Internal Medicine | 301 N 27th St, Ste 1, Norfolk, NE 68701-4457 | 2006-08-08 |
| 1558305128 | Whitney D Brooks | Internal Medicine | 885 Kempsville Rd, Suite 114, Norfolk, VA 23502-3800 | 2006-06-15 |
| 1215976154 | Kelvin Hornbuckle | Internal Medicine | 885 Kempsville Rd, Suite 114, Norfolk, VA 23502-3800 | 2006-06-06 |
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| 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.