ROSE E. FREDERICKS (NPI# 1326171026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326171026 |
| Entity Type | Individual |
| Full Name | ROSE E. FREDERICKS |
| Credential | M.D. |
| Practice Address |
15 Joyce Anne Dr Manville RI 02838-1017 |
| Practice Telephone | 4017663334 |
| Mailing Telephone | 4017663334 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 76629 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HPHC | AA47729 | 01 | |
| MA | BCBSMA | J13174 | 01 |
| TUFTS | 076629 | 01 | |
| BLUE CHIP | 413130 | 01 | |
| MA | 3099750 | 05 | |
| BMC HEALTHNET | 28351 | 01 | |
| RI | BCBSRI | 31041-9 | 01 |
| CIGNA | B10071401 | 01 |
| Street Address |
15 JOYCE ANNE DR |
| City | MANVILLE |
| State | RI |
| Zip Code | 02838-1017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063923373 | Joshua Nicholas Liard | Counselor | 144 Church St, Manville, RI 02838-1101 | 2017-10-14 |
| 1093150518 | Aaron Bond Morris | Counselor | 12 Reservoir Ave Apt C, Apt. C, Manville, RI 02838-1222 | 2013-05-10 |
| 1528050499 | The Holiday Retirement Home, Inc. | Skilled Nursing Facility | 30 Sayles Hill Rd, Manville, RI 02838-1227 | 2005-08-17 |
| 1417365933 | Rhonda Somyk | Nutritionist | 3 Umbrella Way, Manville, RI 02838-1249 | 2014-07-28 |
| 1184951980 | Peter Nicholas Dekreon | Behavioral Analyst | 120 Summer St, Manville, RI 02838-1313 | 2009-11-16 |
| 1801005715 | The Homestead Group | Nursing Facility/Intermediate Care Facility | 112 Maple St, Manville, RI 02838-1507 | 2007-05-21 |
| 1093832339 | Avatar Residential, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 425 New River Rd, Manville, RI 02838-1805 | 2007-03-23 |
| 1174811756 | Janice Votta | Speech-Language Pathologist | 400 New River Rd Apt 411, Manville, RI 02838-1814 | 2011-07-15 |
| 1346721743 | Elizabeth Moore | Social Worker | 315 New River Rd, Manville, RI 02838-1817 | 2018-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647736 | Apluscare, LLC | Community/Behavioral Health | 1419 W Camplain Rd, Manville, NJ 08835-1647 | 2020-10-19 |
| 1093355687 | Mildred Miller-king | Case Manager/Care Coordinator | 115 N 8th Ave, Manville, NJ 08835-1249 | 2020-01-10 |
| 1326513219 | Dottie Krista Planeta | Registered Nurse | 21 S 8th Ave Apt B, Manville, NJ 08835-1713 | 2018-10-08 |
| 1346721743 | Elizabeth Moore | Social Worker | 315 New River Rd, Manville, RI 02838-1817 | 2018-08-23 |
| 1063923373 | Joshua Nicholas Liard | Counselor | 144 Church St, Manville, RI 02838-1101 | 2017-10-14 |
| 1033636857 | The Arc of Somerset County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 South St Apt 4, Manville, NJ 08835-1874 | 2017-08-23 |
| 1467979385 | The Arc of Somerset County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 South St Apt 6, Manville, NJ 08835-1874 | 2017-08-23 |
| 1295252013 | The Arc of Somerset County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 South St Apt 7, Manville, NJ 08835-1874 | 2017-08-23 |
| 1578925335 | Katherine Provel | Speech-Language Pathologist | 1333 Dominic St, Manville, NJ 08835-1956 | 2016-03-22 |
| 1790145639 | A2z Dental | Clinic/Center | 255 North Main Str., Manville, NJ 08835 | 2016-03-04 |
| Find all providers in MANVILLE | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1972646487 | Indira Madapati | Internal Medicine | 204 S Main St, Manville, NJ 08835-1806 | 2007-02-14 |
| 1629189519 | Dr Milia &magdy Ghaly Md Pa | Internal Medicine | 204 S Main St, Manville, NJ 08835-1806 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216974 | Rhode Island Health Group PC | Internal Medicine | 63 Eddie Dowling Hwy Ste 1, North Smithfield, RI 02896-7322 | 2020-08-20 |
| 1871115147 | James Lewis Scharfen | Internal Medicine | 593 Eddy St Rm 126, Providence, RI 02903-4923 | 2020-05-10 |
| 1801428131 | Core Health Care LLC | Internal Medicine | 220 Watch Hl, East Greenwich, RI 02818-5103 | 2020-02-05 |
| 1992367189 | Ahmad Radwan Mahmoud Muammar | Internal Medicine | 455 Toll Gate Rd Ofc, Warwick, RI 02886-2759 | 2019-07-08 |
| 1083271241 | Perry Mayo-malasky | Internal Medicine | 201 Angell St Apt 7, Providence, RI 02906-1236 | 2019-05-23 |
| 1972096923 | Lmb Medical LLC | Internal Medicine | 127 School St, Pawtucket, RI 02860 | 2018-06-13 |
| 1871084509 | Jaclyn Mckenna | Internal Medicine | Rhode Island Hospital 593 Eddy Street, Providence, RI 02903 | 2018-05-29 |
| 1104315258 | Pawtucket Primary Care Inc. | Internal Medicine | 333 School St Ste 107, Pawtucket, RI 02860-5335 | 2018-05-04 |
| 1912496209 | Martin Jude Cotti | Internal Medicine | 455 Toll Gate Rd., Warwick, RI 02886 | 2018-05-02 |
| 1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ROSE E. FREDERICKS.
| 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.