DR. RENEE A FREDERICKSON (NPI# 1528039930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528039930 |
| Entity Type | Individual |
| Full Name | DR. RENEE A FREDERICKSON |
| Credential | M.D. |
| Practice Address |
905 Highland Blvd Suite 4500 Bozeman MT 59715-6903 |
| Mailing Address |
905 Highland Blvd 4440 Bozeman Health Women's Specialists Bozeman MT 59715-6901 |
| Practice Telephone | 4064145150 |
| Mailing Telephone | 4064145150 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2020-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 69114 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 1528039930 | 05 |
| Street Address |
905 HIGHLAND BLVD SUITE 4500 |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59715-6903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437154291 | Andrew W Grace | Surgery | 905 Highland Blvd, Ste 4450, Bozeman, MT 59715-6901 | 2005-06-17 |
| 1457718934 | Nicholas Anthony,phd,p.a. | Psychologist | 905 Highland Blvd, Ste 4500, Bozeman, MT 59715-6901 | 2016-01-28 |
| 1083980619 | Daniel Scott Mitchell | Internal Medicine | 905 Highland Blvd, Bozeman, MT 59715-6901 | 2012-03-28 |
| 1982988606 | Betsy Mae Biggerstaff | Pharmacist | 905 Highland Blvd, Suite 4500, Bozeman, MT 59715-6901 | 2011-09-29 |
| 1093095044 | Montana Surgical Clinic Pllc | Surgery | 905 Highland Blvd, Suite 4450, Bozeman, MT 59715-6901 | 2011-08-23 |
| 1932406592 | Genevieve Marie Euduria Butler | Massage Therapist | 905 Highland Blvd, Suite 4420, Bozeman, MT 59715-6901 | 2011-02-17 |
| 1699088799 | Janice Garcia | Physical Therapy Assistant | 905 Highland Blvd, Bozeman, MT 59715-6901 | 2010-07-17 |
| 1205074648 | Cynthia M Carter | Physician Assistant | 905 Highland Blvd, Suite 4100, Bozeman, MT 59715-6901 | 2009-01-22 |
| 1194915397 | Steffan John May | Internal Medicine | 905 Highland Blvd, Suite 4500, Bozeman, MT 59715-6901 | 2007-07-25 |
| 1629137880 | Nicholas Charles Anthony | Psychologist | 905 Highland Blvd, Ste. 4500, Bozeman, MT 59715-6901 | 2006-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152288 | Ch Mh Services (il), LLC | Clinic/Center | 233 E Main St Suite 401, Bozeman, MT 59715 | 2020-10-22 |
| 1134735269 | Montana Therapy and Consulting Pllc | Social Worker | 110 S Grand Ave, Floor 2, Bozeman, MT 59715 | 2020-09-23 |
| 1831715994 | Alyson Raph | Student in an Organized Health Care Education/Training Program | 1 Anna Pearl Sherrick Hal, Bozeman, MT 59715 | 2020-06-24 |
| 1639702780 | Miranda Shields | Massage Therapist | 1001 W. Oak St. Bldg C Ste 210, Bozeman, MT 59715 | 2020-02-18 |
| 1154988590 | Christina Yancy | Massage Therapist | Bldg C, Ste 210, 1001 W Oak St, Bozeman, MT 59715 | 2019-05-21 |
| 1962068767 | Julie A Hisey | Physical Therapist | 1700 W. Koch, Suite 12, Bozeman, MT 59715 | 2019-05-16 |
| 1639631633 | Joshua Wallace | Massage Therapist | 1001 W Oak St, Bldg. C Ste. 210, Bozeman, MT 59715 | 2019-04-01 |
| 1528523388 | Judith Margaret Firehammer | Psychologist | 37 East Main St, Suite 7, Bozeman, MT 59715 | 2019-02-06 |
| 1194280875 | Erica Kotick | Counselor | 2246 Boot Hill Court, Suite 4, Bozeman, MT 59715 | 2019-02-06 |
| 1194291609 | Providence Mental Health Pllc | Social Worker | 2246 Boot Hill Ct. Unit #4, Bozeman, MT 59715 | 2018-10-23 |
| Find all providers in zip 59715 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932352176 | Marilee Michelle Simons | Obstetrics & Gynecology | 905 Highland Blvd Ste 4440, Bozeman, MT 59715-6901 | 2008-10-31 |
| 1265624209 | Shauna Werth Kronfuss | Obstetrics & Gynecology | 905 Highland Blvd., Suite 4440, Bozeman, MT 59715 | 2007-08-14 |
| 1134194970 | Kristie L Bodnar | Obstetrics & Gynecology | 905 Highland Blvd Ste 4500, Bozeman, MT 59715-6903 | 2006-02-22 |
| 1649258674 | Amy Elizabeth Korten | Obstetrics & Gynecology | 925 Highland Blvd Ste 1210, Bozeman, MT 59715-6905 | 2006-01-09 |
| 1023374170 | Silddy Atilano | Obstetrics & Gynecology | 925 Highland Blvd Ste 1210, Bozeman, MT 59715-6905 | 2012-04-03 |
| 1245486091 | Samuel Joseph Sillitti | Obstetrics & Gynecology | 925 Highland Blvd, Suite#1210, Bozeman, MT 59715-6900 | 2008-08-12 |
| 1215108576 | Park Clinic Ob-gyn | Obstetrics & Gynecology | 300 N Willson Ave, Bozeman, MT 59715-3551 | 2008-03-14 |
| 1710175120 | Shelby Lea Haugan | Obstetrics & Gynecology | 925 Highland Blvd Ste 1210, Bozeman, MT 59715-6905 | 2007-10-10 |
| 1265648455 | Billings Clinic | Obstetrics & Gynecology | 925 Highland Blvd, Ste 1210, Bozeman, MT 59715-6900 | 2007-05-15 |
| 1013133123 | Jennifer Louise Yarger | Obstetrics & Gynecology | 925 Highland Blvd Ste 1210, Bozeman, MT 59715 | 2007-04-17 |
| Find all providers in BOZEMAN | ||||
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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.