MARILYNN E FREDERIKSEN


Address: 945 N 12th St, Milwaukee, WI 53233-1305
Phone: 4142197956

MARILYNN E FREDERIKSEN (NPI# 1811996796) 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) 1811996796
Entity Type Individual
Full Name MARILYNN E FREDERIKSEN
Credential M.D.
Practice Address 945 N 12th St
Milwaukee
WI 53233-1305
Practice Telephone 4142197956
Mailing Telephone 4142197956
Enumeration Date 2005-07-21
Last Update Date 2019-09-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VM0101X Obstetrics & Gynecology
Specialization: Maternal & Fetal Medicine
68138 WI Allopathic & Osteopathic Physicians
N 207VM0101X Obstetrics & Gynecology
Specialization: Maternal & Fetal Medicine
36058725 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL BLUE CROSS/BLUE SHIELD NO 1627904 01
WI 100071887 05

Office Location

Street Address 945 N 12TH ST
City MILWAUKEE
State WI
Zip Code 53233-1305

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104437375 Danielle Steinke Physical Therapist 945 N 12th St, Milwaukee, WI 53233-1305 2020-08-12
1477171916 Rachel Weiss Dietitian, Registered 945 N 12th St, Milwaukee, WI 53233-1305 2020-07-10
1427675230 Nicholas Dimitri Nassif Student in an Organized Health Care Education/Training Program 945 N 12th St, Milwaukee, WI 53233-1305 2020-06-26
1467076935 Victoria K Iadarola Physician Assistant 945 N 12th St, Milwaukee, WI 53233-1305 2020-06-01
1982226676 Mariann Delores Sykes Massage Therapist 945 N 12th St, Milwaukee, WI 53233-1337 2020-05-15
1992325112 Tom Robert Straus Occupational Therapist 945 N 12th St, Milwaukee, WI 53233-1305 2020-04-17
1881213304 Melissa Hunter Physical Therapist 945 N 12th St, Milwaukee, WI 53233-1305 2020-04-14
1891314373 Nicholas Medek Physical Therapy Assistant 945 N 12th St, Milwaukee, WI 53233-1305 2020-04-14
1447889811 Mounika Paravastu Student in an Organized Health Care Education/Training Program 945 N 12th St, Milwaukee, WI 53233-1305 2020-04-07
1194354688 Salma A Aljamal Student in an Organized Health Care Education/Training Program 945 N 12th St, Milwaukee, WI 53233-1305 2020-04-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104454750 Henok Desta Hardilo Student in an Organized Health Care Education/Training Program Aurora Sinai Medical Center 945 N 12th Street, Milwaukee, WI 53233 2020-03-30
1821633314 Ann E Millard Occupational Therapist 560 N. 16th Street, Room 214a, Milwaukee, WI 53233 2019-11-08
1306480918 Teng Kai Ong Dentist 1801 West Wisconsin Ave., Milwaukee, WI 53233 2019-11-06
1356800478 Nebiyu Abera Tilahun Student in an Organized Health Care Education/Training Program Aurora Sinai Medical Center, 945 N. 12th Street, Milwaukee, WI 53233 2019-03-18
1548748387 Emily Claire Goetz Physical Therapist 945 N. 12th St. Suite 1100, Milwaukee, WI 53233 2018-08-03
1801373378 Froedtert & The Medical College of Wisconsin Community Physicians Non-Pharmacy Dispensing Site 1721 W Canal St, Milwaukee, WI 53233 2018-07-26
1184170706 Lauren Troll Physical Therapist 925 N 12th Street, Milwaukee, WI 53233 2016-09-01
1942694401 Iryna Nemesh Internal Medicine 1020 N 12th St Fl 2, Milwaukee, WI 53233 2015-03-23
1649676032 Matina Angelopoulou Dentist 1801 West Winsconsin Ave, Milwaukee, WI 53233 2014-11-12
1780007831 John Ladisa Technician, Other 1637 W. Wisconsin Ave, Room 311, Milwaukee, WI 53233 2014-01-27
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Taxonomy Information

Taxonomy Code 207VM0101X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Maternal & Fetal Medicine

Taxonomy Definition

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164764874 Rachel Katherine Harrison Obstetrics & Gynecology 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2013-03-20
1336431287 Emily Rose Smith Obstetrics & Gynecology 9200 W Wisconsin Ave, Milwaukee, WI 53226 2011-05-11
1790913820 Anna Palatnik Obstetrics & Gynecology 9200 W Wisconsin Ave, Maternal and Fetal Medicine, Milwaukee, WI 53226-3522 2009-06-26
1154515849 Meredith Ordonez Cruz Obstetrics & Gynecology 9200 W Wisconsin Ave, Maternal and Fetal Medicine, Milwaukee, WI 53226-3522 2007-09-05
1770624629 Alice A Robinson Obstetrics & Gynecology 201 N Mayfair Rd, Milwaukee, WI 53226-4216 2007-02-12
1841238060 Erika L Peterson Obstetrics & Gynecology 9200 W Wisconsin Ave, Department of Obstetrics and Gynecology, Milwaukee, WI 53226-3522 2006-06-02
1619966496 Richard A Pircon Obstetrics & Gynecology 2323 N Lake Dr, Attn: Perinatal Assessment Center, Milwaukee, WI 53211-4508 2005-10-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336431139 Geoffrey Howard Gordon Obstetrics & Gynecology 737 Apollo Way, Madison, WI 53718-2913 2011-05-11
1417982448 John Sargent Sholl Obstetrics & Gynecology 2133 To To Tom Dr, Lac Du Flambeau, WI 54538-9661 2006-07-11
1548218886 Chanel T Tyler Obstetrics & Gynecology 7021 Colony Dr, Madison, WI 53717-1407 2006-05-05
1811966211 Dinesh M Shah Obstetrics & Gynecology 117 S Hamilton St Apt 807, Madison, WI 53703-4415 2006-03-16
1811330376 Jacquelyn Hanna Adams Obstetrics & Gynecology 202 S Park St, Madison, WI 53715-1507 2013-04-15
1437409752 Fox Valley Perinatology, S.c. Obstetrics & Gynecology 1818 N Meade St, Appleton, WI 54911-3454 2012-09-13
1912297102 Kathleen Antony Obstetrics & Gynecology 202 S Park St, Madison, WI 53715-1507 2011-04-09
1487971149 Providence Physician Services Co Obstetrics & Gynecology 101 W 8th Ave, Ste 1100, Spokane, WI 99204-2307 2010-04-21
1225353055 Michael Balistreri Obstetrics & Gynecology 700 S Park St, Madison, WI 53715-1830 2010-04-05
1457586596 Kazumasa Hashimoto Obstetrics & Gynecology 1000 N Oak Ave, Marshfield, WI 54449-5703 2009-05-19
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Competitor

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City MILWAUKEE
Zip Code 53233

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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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