PAUL FREDERICK


Address: 02957 73rd St, South Haven, MI 49090-9364
Phone: 2696379099

PAUL FREDERICK (NPI# 1790881290) 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) 1790881290
Entity Type Individual
Full Name PAUL FREDERICK
Practice Address 02957 73rd St
South Haven
MI 49090-9364
Practice Telephone 2696379099
Practice Fax Number 2696379224
Mailing Telephone 2696379099
Mailing Fax Number 2696379224
Enumeration Date 2006-09-15
Last Update Date 2008-03-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2000X Clinic/Center
Specialization: Physical Therapy
M15501011004 MI Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MI 4800853 05
MI BLUE CROSS BLUE SHIELD OHO1023 01

Other Providers PAUL FREDERICK

NPI Name Taxonomy Address Enumeration
1366735623 Paul Adam Frederick Ophthalmology 401 Meridian St N Ste 200, Huntsville, AL 35801-4719 2011-05-19
1518921782 Paul L Frederick Surgery 500 Medical Arts Bldg, Suite 510, Kittanning, PA 16201-7137 2006-04-14
1568004752 Paul Frederick Specialist/Technologist 6601 Montana Ave Ste Gandh, El Paso, TX 79925-2155 2019-10-09
1518056852 Paul E. Frederick Social Worker 1130 Vester Ave, Suite C, Springfield, OH 45503-7302 2006-10-12
1326044660 Paul Kenneth Frederick Internal Medicine 8902 N Meridian St, Ste 225, Indianapolis, IN 46260-5382 2005-06-22

Office Location

Street Address 02957 73RD ST
City SOUTH HAVEN
State MI
Zip Code 49090-9364

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407058209 Orthopedic Physical Therapy Specialist LLC Clinic/Center 02957 73rd St, South Haven, MI 49090-9364 2007-06-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295234490 Katara Therapy, LLC Social Worker 13560 76th Street, Suite 3, South Haven, MI 49090 2018-02-03
1487022091 Kevin E. Ferrell Physician Assistant 955 S. Bailey Avenue, South Haven, MI 49090 2015-09-14
1942638002 Birdie Farley Chore Provider 26725 M-140 Hwy, South Haven, MI 49090 2013-10-28
1730514910 Rebecca A. Bennett Counselor 1675 Phoenix Road, Suite 9, South Haven, MI 49090 2013-09-06
1902149818 Bronson South Haven Hospital Emergency Medicine 970 S Bailey Ave, South Haven, MI 49090 2013-03-28
1265629927 Cecilia Liz Vives Vasquez Physical Therapist 23701 Red Arrow Hwy, Mattawan, MI 49090 2007-09-26
1518089788 Donald Jam,es Buckley Pharmacist 955 S Bailey, South Haven, MI 49090 2007-04-06
1366568966 Norman M Maly Dentist 05055 Blue Star Hwy, South Haven, MI 49090 2007-03-22
1639264062 Deborah Sue Distefano Pharmacy Technician 512 Phoenix Street, South Haven, MI 49090 2006-10-03
1053357897 Stephen Earl Tolen Chiropractor 325 Superior St., South Haven, MI 49090 2006-06-21
Find all providers in zip 49090

Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407058209 Orthopedic Physical Therapy Specialist LLC Clinic/Center 02957 73rd St, South Haven, MI 49090-9364 2007-06-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1629679485 Thrive Physical Therapy Clinic/Center 835 Mason St Ste A245, Dearborn, MI 48124-2231 2020-11-06
1700484482 Redford Physical Therapy LLC Clinic/Center 25136 W 6 Mile Rd, Redford, MI 48240-2102 2020-10-14
1740894500 Sara Sue Laisure Clinic/Center 1105 E 8th St, Traverse City, MI 49686-2936 2020-08-31
1578176269 Pro-line Physical Therapy, LLC Clinic/Center 25899 W 12 Mile Rd Ste 335, Southfield, MI 48034-8343 2020-08-24
1326650011 Physical Therapy Center for Sports and Performing Arts, Pllc Clinic/Center 30475 Stephenson Hwy, Madison Heights, MI 48071-1615 2020-08-23
1770194607 Restorative Rehabilitation Inc Clinic/Center 9228 Pelham Rd, Taylor, MI 48180-3832 2020-08-13
1528679081 Activo Physical Therapy, LLC Clinic/Center 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 2020-08-10
1114537719 Axpert Rehab Care, LLC Clinic/Center 22830 Kelly Rd, Eastpointe, MI 48021-2072 2020-08-07
1619586898 Right Health, PC Clinic/Center 28345 Beck Rd Ste 412, Wixom, MI 48393-4745 2020-07-23
1497378368 Launch Pediatric Rehab Clinic/Center 13448 Greenbriar Dr, Grand Haven, MI 49417-9161 2020-05-26
Find all providers with the same taxonomy

Competitor

Search similar providers

City SOUTH HAVEN
Zip Code 49090

Improve Information

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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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