DR. ERIC FREDRICKSON (NPI# 1417343724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417343724 |
| Entity Type | Individual |
| Full Name | DR. ERIC FREDRICKSON |
| Credential | M.D. |
| Practice Address |
7301 Rogers Ave Fort Smith AR 72903-4100 |
| Practice Telephone | 4793146241 |
| Practice Fax Number | 4794520275 |
| Mailing Telephone | 4793146241 |
| Mailing Fax Number | 4794520275 |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2020-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | T2020-365 | AR | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | R6192 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
7301 ROGERS AVE |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72903-4100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831182641 | Mercy Ambulatory Surgery Center, LLC | Clinic/Center | 7301 Rogers Ave, Fort Smith, AR 72903-4100 | 2005-08-26 |
| 1801416268 | Kally Lane Rains | Student in an Organized Health Care Education/Training Program | 7301 Rogers Ave, Fort Smith, AR 72903-4100 | 2020-04-25 |
| 1780216200 | Gena Pierce | Dietitian, Registered | 7301 Rogers Ave, Fort Smith, AR 72903-4100 | 2020-02-12 |
| 1598305732 | Lauren L Williams | Dietitian, Registered | 7301 Rogers Ave, Fort Smith, AR 72903-4100 | 2020-01-15 |
| 1861049694 | Jessica Irgens | Dietitian, Registered | 7301 Rogers Ave, Fort Smith, AR 72903-4100 | 2019-08-26 |
| 1932666013 | Samantha Riggs | Dietitian, Registered | 7301 Rogers Ave, Fort Smith, AR 72903-4100 | 2019-02-26 |
| 1851858849 | Louise Margaret Barling | Dietitian, Registered | 7301 Rogers Ave, Fort Smith, AR 72903-4100 | 2019-02-26 |
| 1437616554 | Sydney Catherine Rogers | Dietitian, Registered | 7301 Rogers Ave, Fort Smith, AR 72903-4100 | 2019-02-25 |
| 1447717608 | Caleb Ross Mullis | Dietitian, Registered | 7301 Rogers Ave, Fort Smith, AR 72903-4100 | 2019-02-25 |
| 1538626635 | Christy Lenzini | Dietitian, Registered | 7301 Rogers Ave, Fort Smith, AR 72903-4100 | 2019-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280016 | Bhg L, LLC | Clinic/Center | 1501 Waldron Road, Ste 203, Fort Smith, AR 72903 | 2019-08-16 |
| 1457905903 | Heather Snyder | Optometrist | 1021 South Waldron Road, Fort Smith, AR 72903 | 2019-08-01 |
| 1083272223 | Pediatric Therapy Connections LLC | Clinic/Center | 7601 Westminister Pl, Fort Smith, AR 72903 | 2019-06-03 |
| 1073092821 | Baptist Health Services | Psychiatry & Neurology | 3808 Gary St Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1104305853 | Baptist Health Services | Family Medicine | 5428 Ellsworth Rd Ste A, Fort Smith, AR 72903 | 2018-08-13 |
| 1417436171 | Baptist Health Services | Pediatrics | 5428 Ellsworth Rd Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1558840421 | Baptist Health Services | Family Medicine | 3808 Gary St Ste A, Fort Smith, AR 72903 | 2018-08-10 |
| 1316434707 | Md Weight Loss and Wellness, LLC | Dietitian, Registered | 3416 Old Greenwood Road, Fort Smith, AR 72903 | 2018-04-20 |
| 1942695572 | Donna K Morgan | Counselor | 2408 S. 51st Court Suite G, Fort Smith, AR 72903 | 2015-03-31 |
| 1346658242 | Shelby Mural Esry | Dentist | 3200 Rogers Ave. Suite 111, Fort Smith, AR 72903 | 2014-07-24 |
| Find all providers in zip 72903 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972034775 | Brandon Keith Vick | Emergency Medicine | 612 South 12th St., Family Medicine Uams-west, Fort Smith, AR 72901 | 2017-03-23 |
| 1336378462 | Kristin R Pece | Emergency Medicine | 7301 Rogers Av, Fort Smith, AR 72903 | 2009-07-10 |
| 1093772592 | James Cary Wilson | Emergency Medicine | 7301 Rogers Ave., Emergency Department, Fort Smith, AR 72903-4100 | 2006-04-27 |
| 1972582260 | Danny Silver | Emergency Medicine | 4600 Towson Ave, Suite 101-w-1, Fort Smith, AR 72901-7961 | 2006-01-13 |
| 1134106743 | Dwight Joseph Johnson | Emergency Medicine | 2706 Herbert St, Fort Smith, AR 72901-4283 | 2005-12-23 |
| 1922539907 | Jonathan D Moser | Emergency Medicine | 612 S 12th St, Fort Smith, AR 72901-4702 | 2017-03-22 |
| 1629425061 | Chiricka Orisakwe | Emergency Medicine | 612 South 12th Street, Family Medicine Uams-west, Fort Smith, AR 72901 | 2016-05-16 |
| 1437545761 | Wallace Lock | Emergency Medicine | 612 S 12th St, Fort Smith, AR 72901-4702 | 2015-04-14 |
| 1861886731 | Aaron Bull | Emergency Medicine | 7301 Rogers Ave, Fort Smith, AR 72903-4100 | 2015-03-27 |
| 1396133393 | Medexpress Urgent Care Arkansas, P.a. | Emergency Medicine | 4600 Rogers Ave, Fort Smith, AR 72903-3149 | 2014-12-30 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72903 |
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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.