MR. DAVID LAYNE FREDERICK JR.


Address: 1050 Jabarrah Ave, Seymour Johnson A F B, NC 27531-2310
Phone: 9197221522

MR. DAVID LAYNE FREDERICK JR. (NPI# 1821334244) 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) 1821334244
Entity Type Individual
Full Name MR. DAVID LAYNE FREDERICK JR.
Credential IDMT
Practice Address 1050 Jabarrah Ave
Seymour Johnson A F B
NC 27531-2310
Mailing Address 405 Woodhille Dr
Goldsboro
NC 27530-9066
Practice Telephone 9197221522
Mailing Telephone 9196488310
Enumeration Date 2012-12-13
Last Update Date 2012-12-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1003X Military Health Care Provider
Specialization: Independent Duty Medical Technicians
Other Service Providers

Other Providers DAVID FREDERICK

NPI Name Taxonomy Address Enumeration
1275943987 David Frederick Naturopath 1815 E Georgia Ave, Phoenix, AZ 85016-3313 2014-05-02
1912207614 David William Frederick Family Medicine 726 Buckwood Ln, Lititz, PA 17543-8632 2010-10-27
1205824893 David Eugene Frederick Psychologist 1218 5th Ave, Huntington, WV 25701-2234 2005-10-09
1306371364 David Frederick Psychologist 2340 Eastern Blvd, York, PA 17402-2897 2017-04-27
1669820296 David Grant Frederick Psychiatry & Neurology Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 2016-05-24
1053748103 David Lawrence Frederick Pharmacist 3741 Highway 14, Millbrook, AL 36054-1905 2013-10-03
1104189026 David Frederick Internal Medicine 919 E 32nd St, Austin, TX 78705-2703 2012-06-18
1215035662 David E Frederick Counselor 230 Park St, Wautoma, WI 54982-9031 2006-09-20

Office Location

Street Address 1050 JABARRAH AVE
City SEYMOUR JOHNSON A F B
State NC
Zip Code 27531-2310

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053316562 Stephen Brian Irvin Family Medicine 1050 Jabarrah Ave, Seymour Johnson A F B, NC 27531-2310 2005-06-21
1952704975 Andrea Sumner Physician Assistant 1050 Jabarrah Ave, Seymour Johnson A F B, NC 27531-2310 2014-10-04
1962774356 Logan A Latimer Military Health Care Provider 1050 Jabarrah Ave, Flight Medicine Clinic, Seymour Johnson A F B, NC 27531-2310 2012-02-01
1285918342 Tiffany Moore Brassard Dietitian, Registered 1050 Jabarrah Ave, Seymour Johnson A F B, NC 27531-2310 2011-10-06
1023306438 Jennifer Thomas Registered Nurse 1050 Jabarrah Ave, Seymour Johnson A F B, NC 27531-2310 2011-07-19
1386937027 Christopher Gary Keeton Military Health Care Provider 1050 Jabarrah Ave, Seymour Johnson A F B, NC 27531-2310 2011-05-26
1659501476 Andrea M Rope Optometrist 1050 Jabarrah Ave, 4amds/sgge Attn: Optometry Clinic, Seymour Johnson A F B, NC 27531-2310 2009-07-15
1184867442 Angela Marie Carter Military Health Care Provider 1050 Jabarrah Ave, Seymour Johnson A F B, NC 27531-2310 2009-04-15
1255319232 Shannon Susan Hill Nurse Practitioner 1050 Jabarrah Ave, 4th Medical Group, Seymour Johnson A F B, NC 27531-2310 2006-01-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376185348 Adam Golos Pharmacist 2803 Medical, N Campus Dr, Goldsboro, NC 27531 2019-10-11
1346747011 Rachel Eden Leigh Palmer Military Health Care Provider 2803 Medical Campus Dr, Seymour Johnson Afb, NC 27531 2018-04-10
1689108508 Peri Fouss Pediatrics 2803 Medical Campus Drive, Goldsboro, NC 27531 2017-04-18
1700256427 Karen Schaefer Psychologist 1050 Jabara Ave., Goldsboro, NC 27531 2015-10-07
1679059737 Charles Billig Physician Assistant 2803 Medical Campus Dr, Goldsboro, NC 27531 2018-07-12
1710413216 Michael Everett Ridlehoover Dentist 2803 Medical Campus Drive, Seymour Johnson Afb, NC 27531 2017-05-04
1679924344 Austin Mcjunkins Surgery 1050 Jabara Ave, Seymour Johnson A F B, NC 27531 2016-06-23
1033596937 Christina Marie Pyeatt Military Health Care Provider 1050 Jabara Ave, Flight Medicine Clinic, Seymour Johnson Afb, NC 27531 2015-04-29
1790931723 Joshua S Swantek Pharmacist 1050 Jabara Ave, Seymour Johnson Afb, Goldsboro, NC 27531 2008-08-11
1750430435 Brooke Wenman Heroux Psychologist 1050 Jabara Ave, Goldsboro, NC 27531 2007-01-10
Find all providers in zip 27531

Taxonomy Information

Taxonomy Code 1710I1003X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Medical Technicians

Taxonomy Definition

An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
Notes: Source: Air Force Surgeon General Office [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902343858 Isaiah Gary Allison Military Health Care Provider 1050 Jabara Ave, Seymour Johnson A F B, NC 27531-2310 2017-01-30
1962774356 Logan A Latimer Military Health Care Provider 1050 Jabarrah Ave, Flight Medicine Clinic, Seymour Johnson A F B, NC 27531-2310 2012-02-01
1386937027 Christopher Gary Keeton Military Health Care Provider 1050 Jabarrah Ave, Seymour Johnson A F B, NC 27531-2310 2011-05-26
1184867442 Angela Marie Carter Military Health Care Provider 1050 Jabarrah Ave, Seymour Johnson A F B, NC 27531-2310 2009-04-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1528415841 Kelby Joseph Sage Durnin Military Health Care Provider 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 2016-05-17
1225425655 Justin Wells Military Health Care Provider 1398 Surveyor St, Pope Army Airfield, NC 28308-2710 2015-04-23
1912267295 Amber Lynn Scouton Military Health Care Provider 215 Bolling Dr, Goldsboro, NC 27534-5527 2012-05-21
1750662417 Daryl Bradley Military Health Care Provider 146 Tulane Dr, Raeford, NC 28376 2011-09-07
1811211642 Leasa C Novotny Military Health Care Provider 271 Sheridan Forest Rd Apt 1200, Goldsboro, NC 27534-7155 2010-03-23
1467784926 James Blake Little Military Health Care Provider 300 Meadow Rd, Goldsboro, NC 27534-8759 2010-02-09
1710116595 Patrick Joseph Hunt Military Health Care Provider 1 Matero Dr, Ol-c 342trs, Pope, NC 28308 2009-07-14
1184850760 Jose Victor Nazario Military Health Care Provider 628 Ed Moye Rd, La Grange, NC 28551-8888 2009-06-09
1962637504 Christopher Michael Lohr Military Health Care Provider 102 Partridge Rd, Fayetteville, NC 28306-8235 2009-05-27
1417191974 Erik William Rodriguez Military Health Care Provider 106 Purple Martin Pl, Fayetteville, NC 28306-8262 2009-04-28
Find all providers with the same taxonomy

Competitor

Search similar providers

City SEYMOUR JOHNSON A F B
Zip Code 27531

Improve Information

Please comment or provide details below to improve the information on MR. DAVID LAYNE FREDERICK JR..

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.

Trending Searches