DR. FREDERICK HAROLD


Address: 10055 Ford Avenue, Suite 3a, Richmond Hill, GA 31324
Phone: 9128199601

DR. FREDERICK HAROLD (NPI# 1629484902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629484902
Entity Type Individual
Full Name DR. FREDERICK HAROLD
Credential D.O.
Practice Address 10055 Ford Avenue
Suite 3a
Richmond Hill
GA 31324
Mailing Address 836 E 65th Street
Suite 22
Savannah
GA 31405
Practice Telephone 9128199601
Practice Fax Number 9128199605
Mailing Telephone 9128197878
Mailing Fax Number 9128193555
Enumeration Date 2014-07-07
Last Update Date 2020-01-22
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine 34.012118 OH Allopathic & Osteopathic Physicians
Y 390200000X Student in an Organized Health Care Education/Training Program 80159 GA Student, Health Care
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
GA 003207605A 05

Office Location

Street Address 10055 FORD AVENUE
SUITE 3A
City RICHMOND HILL
State GA
Zip Code 31324

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902389588 Bryan Anderson Physician Assistant 8435 Vanguard Road, Fort Stewart, GA 31324 2018-09-10
1366941684 Codie Wiley Physician Assistant Expercare Urgent Care 60 Exchange Street, Suite B7, Richmond Hill, GA 31324 2018-02-02
1174038145 Shelly Stewart Childers Nurse Practitioner 2453 U.S. 17, Suite G, Richmond Hill, GA 31324 2017-12-12
1619495215 Kristi Oxley Nurse Practitioner 2701 Us Hwy 17 Ste 1b, Richmond Hill, GA 31324 2017-09-03
1275062564 Janice Tillman Gravitt Registered Nurse 60 Long Creek Lane, Richmond Hill, GA 31324 2017-06-08
1336680065 Choice Care Medical Durable Medical Equipment & Medical Supplies 9390 Ford Ave Ste 9, Richmond Hill, GA 31324 2017-03-14
1750730263 Haralabos Saltourides Physical Therapy Assistant 127 Carter Street, Richmond Hill, GA 31324 2016-06-06
1922462464 Leia Edenfield Student in an Organized Health Care Education/Training Program 105 Balfour Dr, Richmond Hill, GA 31324 2016-04-11
1477931384 Stephanie Eileen Banasik Nurse Practitioner 10200 Ford Ave. Ste. 101, Richmond Hill, GA 31324 2015-05-12
1962800771 Kendra Seagraves Nurse Practitioner 9976 Ford Avenue, Richmond Hill, GA 31324 2014-12-10
Find all providers in zip 31324

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588126072 Zunaira Ayub Student in an Organized Health Care Education/Training Program 10805 91st Ave Apt 2l, Richmond Hill, NY 11418-2205 2019-04-03
1477014579 Hersimran Kaur Student in an Organized Health Care Education/Training Program 8636 127th St, Richmond Hill, NY 11418-2629 2019-03-29
1942799879 Zaid Obada Student in an Organized Health Care Education/Training Program 8900 Van Wyck Expy Dept Of, Richmond Hill, NY 11418-2832 2018-05-07
1720583545 Priya Katwala Student in an Organized Health Care Education/Training Program 8900 Van Wyvk Expy, Richmond Hill, NY 11418 2018-03-25
1316454473 Sabina Uddin Student in an Organized Health Care Education/Training Program 12800 Georgia Highway 144, Richmond Hill, GA 31324-7343 2018-01-10
1093248908 Hameeda Tayyab Khan Student in an Organized Health Care Education/Training Program 105th St, 8541, Richmond Hill, NY 11418-1128 2017-04-07
1922462464 Leia Edenfield Student in an Organized Health Care Education/Training Program 105 Balfour Dr, Richmond Hill, GA 31324 2016-04-11
1962889832 Camilo Villalobos Student in an Organized Health Care Education/Training Program 8636 112th St, Richmond Hill, NY 11418-1635 2015-04-29
1740546415 Maryam Abdelghani Student in an Organized Health Care Education/Training Program 410 Mcgregor Cir, Richmond Hill, GA 31324-9328 2012-04-07
1053620310 Niti Dhingra Student in an Organized Health Care Education/Training Program 8766 118th St, South Richmond Hill, Richmond Hill, NY 11418-2527 2010-10-04
Find all providers in RICHMOND HILL

Competitor

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City RICHMOND HILL
Zip Code 31324

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Dataset Information

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.

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