DR. DEREK FREDERICKSON (NPI# 1518184514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518184514 |
| Entity Type | Individual |
| Full Name | DR. DEREK FREDERICKSON |
| Credential | MD |
| Practice Address |
886 Washington St Norwood MA 02062-3466 |
| Practice Telephone | 7817621531 |
| Practice Fax Number | 7817622529 |
| Mailing Telephone | 7817621531 |
| Mailing Fax Number | 7817622529 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2015-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
235483 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
886 WASHINGTON ST |
| City | NORWOOD |
| State | MA |
| Zip Code | 02062-3466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730477076 | Ingrid G. Nevins | Nurse Practitioner | 886 Washington St, Norwood, MA 02062-3466 | 2011-07-20 |
| 1790928398 | Karen Ehrlich De Meo | Nurse Practitioner | 886 Washington St, Norwood, MA 02062-3466 | 2009-04-13 |
| 1356461305 | Zacharo Moditi | Obstetrics & Gynecology | 886 Washington St, Suite 2, Norwood, MA 02062-3466 | 2007-03-30 |
| 1639280555 | Joseph L Perrotto Jr. | Internal Medicine | 886 Washington St, Norwood, MA 02062-3466 | 2006-08-31 |
| 1992816839 | Southwestern Gastroenterological Associates, P.C. | Internal Medicine | 886 Washington St, Norwood, MA 02062-3466 | 2006-08-31 |
| 1679684534 | Mohammad Farivar, Md, PC | Internal Medicine | 886 Washington St, Norwood, MA 02062-3466 | 2006-08-31 |
| 1407886161 | Linda A Pettit | Nurse Practitioner | 886 Washington St, Norwood, MA 02062-3466 | 2006-07-05 |
| 1831136845 | Mohammad Farivar | Internal Medicine | 886 Washington St, Mohammad Farivar, Md, PC, Norwood, MA 02062-3466 | 2006-05-31 |
| 1114904364 | Lori A. Paiva | Internal Medicine | 886 Washington St, Suite 3, Norwood, MA 02062-3466 | 2005-12-29 |
| 1508848722 | Agnes Rhee Ahn | Obstetrics & Gynecology | 886 Washington St, Ste 2, Norwood, MA 02062-3445 | 2005-11-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647530 | Lauren Taylor Robbins | Licensed Practical Nurse | 21 Centennial Drive Apt. #3, Norwood, MA 02062 | 2020-07-23 |
| 1013566645 | David Ora Bailey | Counselor | 109 Lenox St., Norwood, MA 02062 | 2019-09-06 |
| 1124599154 | Larisa Stein Dmd, PC-family Dentist | Dentist | 661 Washington Street, Suite 211, Norwood, MA 02062 | 2018-12-17 |
| 1861963134 | Noreen Donne O'hear | Social Worker | 33 George Willett Parkway, Cleveland School, Norwood, MA 02062 | 2018-12-16 |
| 1194242719 | Bidmc Pharmacy, Inc. | Pharmacy | 128 Carnegie Row Ste 110, Norwood, MA 02062 | 2017-08-24 |
| 1023534153 | Foscaldo Healthcare LLC | Home Health | 639 Washington Street, Norwood, MA 02062 | 2017-08-21 |
| 1841710845 | Julia Rose Straus | Speech-Language Pathologist | 101 Vanderbilt Avenue, Norwood, MA 02062 | 2017-06-21 |
| 1043754484 | Recovery Solutions LLC | Clinical Medical Laboratory | 151 Edgehill Rd, Norwood, MA 02062 | 2016-12-05 |
| 1780137273 | Gentle Dental Associates, LLC | Clinic/Center | 980 Providence Highway, Norwood, MA 02062 | 2016-08-01 |
| 1720458094 | Jada Evans | Psychologist | 18 Sturtevant Ave, Apt. 1, Norwood, MA 02062 | 2015-09-30 |
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| 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 |
|---|---|---|---|---|
| 1467616029 | Chiang J Li | Internal Medicine | 333 Providence Hwy, Boston Biomedical, Inc., Norwood, MA 02062-3927 | 2008-07-14 |
| 1356326151 | Michele Dugue | Internal Medicine | 886 Washington St Ste 3, Norwood, MA 02062-6607 | 2005-12-14 |
| 1205251113 | Janaki Patel | Internal Medicine | 886 Washington St Ste 3, Norwood, MA 02062 | 2014-02-28 |
| 1710085030 | Mark A. Painter, Md, PC | Internal Medicine | 95 Chapel St, Suite G-5, Norwood, MA 02062-3155 | 2006-09-20 |
| 1336146554 | David Schreiber | Internal Medicine | 825 Washington St, Norwood, MA 02062-3441 | 2005-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194366849 | Halpert Medical LLC | Internal Medicine | 27 Pier 7, Boston, MA 02129-4226 | 2019-10-03 |
| 1962973131 | Dha Pho-w LLC | Internal Medicine | 91 Montvale Ave #206, Stoneham, MA 02180-3649 | 2018-12-16 |
| 1952825671 | Clifford D Gluck Md Pllc | Internal Medicine | 72 Sharp St Ste A10, Hingham, MA 02043-4362 | 2017-08-03 |
| 1861913881 | Aymeric Becq | Internal Medicine | 330 Brookline Avenue, Dana 603, Boston, MA 02215 | 2017-06-29 |
| 1386019503 | Boston Food Allergy Center LLC | Internal Medicine | 65 Harrison Ave Ste 201, Boston, MA 02111-1924 | 2015-12-14 |
| 1578901088 | Connie Yingyi Huang | Internal Medicine | 55 Highland Ave Ste 101, Salem, MA 01970-2100 | 2013-06-06 |
| 1477996650 | William Thomas Clarke | Internal Medicine | 330 Brookline Ave # Rabb400, Boston, MA 02215-5400 | 2013-04-08 |
| 1487908141 | Jose Manuel Mella | Internal Medicine | 330 Brookline Ave Da 501, East Campus, Beth Israel Deaconess Medical Center, Boston, MA 02215-5403 | 2012-11-02 |
| 1003169327 | Rong J Guan, Md LLC | Internal Medicine | 30 Kneeland St Fl 5, Boston, MA 02111-1528 | 2012-10-24 |
| 1598026494 | Yesenia Greeff | Internal Medicine | 3300 Main St Ste 3a, Springfield, MA 01199 | 2012-06-06 |
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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.