MR. JOHN L FREDS (NPI# 1679180483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679180483 |
| Entity Type | Individual |
| Full Name | MR. JOHN L FREDS |
| Credential | RN |
| Practice Address |
44201 Dequindre Rd Troy MI 48085-1117 |
| Practice Telephone | 2489641301 |
| Mailing Telephone | 2489641301 |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
4704320882 | MI | Nursing Service Providers |
| Street Address |
44201 DEQUINDRE RD |
| City | TROY |
| State | MI |
| Zip Code | 48085-1117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801892468 | Mary Margaret Guerra | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2005-06-28 |
| 1578163523 | Laura Marie Metz | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-10-29 |
| 1538767983 | Virginia Clare Fielhauer | Physician Assistant | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-10-16 |
| 1437756095 | Amanda Michelle Hirsch | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-10-07 |
| 1467059113 | Scott Matthew Grumeretz | Physical Therapist | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-10-06 |
| 1285231944 | Brianne Patton | Physical Therapist | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-10-06 |
| 1720694300 | Justine Marie Doss | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-09-19 |
| 1649885872 | Sara Dawn Thueme | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-09-14 |
| 1316561772 | Jodi Marini | Registered Nurse | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-06-02 |
| 1689296329 | Lisa Stohrer | Pharmacist | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790327252 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd #120, Suite 120, Troy, MI 48085 | 2019-10-16 |
| 1538712948 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd, Suite 120, Troy, MI 48085 | 2019-07-24 |
| 1669035093 | William Beaumont Hospital | Pharmacy | Beaumont Hospital Troy, 44201 Dequindre, Room 11a0310, Troy, MI 48085 | 2019-04-22 |
| 1487126926 | Long Lake Rx | Pharmacy | 2888 E Long Lake Rd Suite 120, Troy, MI 48085 | 2018-12-21 |
| 1295226579 | Jeffrey Paul Biehl | Nurse Anesthetist, Certified Registered | 44249 Dequindre Rd., Troy, MI 48085 | 2018-05-23 |
| 1619478666 | Trisha Misiewicz | Physical Therapist | 42201 Dequindre Rd, Troy, MI 48085 | 2018-02-26 |
| 1760900393 | Sensory Rehabilitation LLC | Physical Therapist | 4413, Reilly Ct, Troy, MI 48085 | 2017-09-04 |
| 1841710837 | James L Chang | Dentist | 1883 E Wattles, Troy, MI 48085 | 2017-06-21 |
| 1033567953 | Brittany N David | Physician Assistant | 2041 E Square Lake Rd Suite 300, Troy, MI 48085 | 2016-06-01 |
| 1053784199 | Brianna Lynn Manica | Nurse Practitioner | 44201 Dequindre Rd., Ste. 400 Troy Beaumont Hospital, Troy, MI 48085 | 2015-11-12 |
| Find all providers in zip 48085 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689008641 | Jennifer Lynn Holmes | Registered Nurse | 153 5th Ave, Apt 1, Troy, NY 12180-1014 | 2013-08-27 |
| 1316561772 | Jodi Marini | Registered Nurse | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-06-02 |
| 1225565377 | Susan J Sam | Registered Nurse | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2017-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598382905 | Kevin Poole Jr. | Registered Nurse | 3044 Shabay Dr Bldg 1, Flushing, MI 48433-2459 | 2020-07-01 |
| 1023665981 | Kara Renee Mcintyre | Registered Nurse | 22725 S Keyes St, Taylor, MI 48180-4100 | 2019-08-23 |
| 1003379314 | Jaina Sabu Samuel | Registered Nurse | 49409 W Central Park, Shelby Twp, MI 48317-6355 | 2019-04-12 |
| 1386163830 | Dionne Lanette Wallace | Registered Nurse | 15730 Mok Ave, Eastpointe, MI 48021-2367 | 2017-09-15 |
| 1336490846 | Venus Yvonne Graham | Registered Nurse | 16950 Martin Rd, Roseville, MI 48066-4331 | 2012-09-24 |
| 1346425030 | Mary Louise Molis | Registered Nurse | 7700 92nd St Se, Caledonia, MI 49316-9593 | 2008-01-01 |
| 1972715787 | Marcy Lee Soutar | Registered Nurse | 1449 S Washington Ave, Royal Oak, MI 48067-3225 | 2007-05-04 |
| 1457460222 | Uaye Juliet Abai | Registered Nurse | 6773 Stonebrige Court, West Bloomfield, MI 48322 | 2006-08-29 |
| 1184635617 | Patricia E Dombrowski | Registered Nurse | 26402 W 11 Mile Rd, Southfield, MI 48034-2248 | 2006-08-10 |
| 1932706033 | Janette Torrico-woo | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-10-02 |
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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.