JAMES E FREDERICK (NPI# 1861588469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861588469 |
| Entity Type | Individual |
| Full Name | JAMES E FREDERICK |
| Credential | MD |
| Practice Address |
1427 Genesee St Utica NY 13501-4343 |
| Mailing Address |
9 Toggletown Ln Clinton NY 13323-1561 |
| Practice Telephone | 3157988868 |
| Practice Fax Number | 3153680195 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2016-01-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 146667 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 146667 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801910443 | James Todd Frederick | Chiropractor | 4739 Rainier Ave S, Seattle, WA 98118-1657 | 2007-03-19 |
| 1407913023 | James Robert Frederick | Emergency Medicine | 325 N 15th St, Hahnemann University Hospital, Dept of Emer Med, Philadelphia, PA 19102-1030 | 2007-01-02 |
| 1184656381 | James Brian Frederick | Obstetrics & Gynecology | 617 23rd St Ste 415, Ashland, KY 41101-2845 | 2006-07-07 |
| 1841687092 | James Frederick | Occupational Therapy Assistant | 1919 Charmont Dr, Charleston, AR 72933-8910 | 2015-04-24 |
| 1548650013 | James P. Frederick | Emergency Medicine | 1024 S Lemay Ave, Fort Collins, CO 80524-3929 | 2015-02-04 |
| 1518367465 | James Frederick | Physical Therapist | 540 Gallivan Blvd, Dorchester, MA 02124-5400 | 2014-08-28 |
| 1881798502 | James Denzil Frederick | Family Medicine | 430 Liberty Rd, West Liberty, KY 41472 | 2006-09-12 |
| Street Address |
1427 GENESEE ST |
| City | UTICA |
| State | NY |
| Zip Code | 13501-4343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780635482 | Rosario Bellassai | Social Worker | 1427 Genesee St, Utica, NY 13501-4343 | 2006-05-15 |
| 1750995213 | Danielle Erin Mcdonough | Counselor | 1427 Genesee St, Utica, NY 13501-4343 | 2020-09-02 |
| 1649831603 | Meghan Mcdonough | Marriage & Family Therapist | 1427 Genesee St, Utica, NY 13501-4343 | 2019-06-21 |
| 1447817150 | Sarah Marie Murphy | Social Worker | 1427 Genesee St, Utica, NY 13501-4343 | 2019-05-29 |
| 1831755693 | Donna Marie Saville | Registered Nurse | 1427 Genesee St, Utica, NY 13501-4343 | 2019-05-16 |
| 1790261360 | Melissa Conaway | Social Worker | 1427 Genesee St, Utica, NY 13501-4343 | 2018-07-17 |
| 1467859686 | Kelly Egresits | Social Worker | 1427 Genesee St, Utica, NY 13501-4343 | 2014-12-03 |
| 1023418605 | Joshua Burgess | Social Worker | 1427 Genesee St, Utica, NY 13501-4343 | 2014-09-02 |
| 1588095384 | Lindsey Gilchrist | Nurse Practitioner | 1427 Genesee St, Utica, NY 13501-4343 | 2013-12-03 |
| 1033548391 | Brittany Todd | Counselor | 1427 Genesee St, Utica, NY 13501-4343 | 2013-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700349248 | Maria Kuehl | Student in an Organized Health Care Education/Training Program | 120 Hobart Street, Residency Program, Utica, NY 13501 | 2019-04-11 |
| 1497237622 | Bobs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 430 Bleecker St, Utica, NY 13501 | 2018-09-04 |
| 1528565421 | Michele Della Gala | Social Worker | 1427 Genesee Street, Utica, NY 13501 | 2018-04-09 |
| 1295274884 | Sheila Denita Boyd | Licensed Practical Nurse | 505 Mary Street, Utica, NY 13501 | 2017-02-16 |
| 1770034993 | Curry Mcmahon | Massage Therapist | 2707 Genesee St, Utica, NY 13501 | 2016-10-24 |
| 1689123614 | Angelica Pascone Martin | Physician Assistant | 2215 Genesee St., Utica, NY 13501 | 2016-10-03 |
| 1942673942 | Krista Lee Klopotek | Registered Nurse | 1151 Albany Street, Albany Elementary School, Utica, NY 13501 | 2015-11-12 |
| 1841618089 | Katherine Macaulay Lucey | Social Worker | 293 Genesee Street, The Neighborhood Center, Inc. Human Resources, Utica, NY 13501 | 2014-04-04 |
| 1578809067 | Laurie A Baker | Social Worker | 2307 Genesee St, Utica, NY 13501 | 2013-01-02 |
| 1104170505 | Amanda Knoeller | Social Worker | 683 Mary Street, Utica, NY 13501 | 2012-11-07 |
| Find all providers in zip 13501 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184788879 | Deerfield Family Practice, Pllc | Family Medicine | 5592 Trenton Rd, Utica, NY 13502-1138 | 2006-12-20 |
| 1609934025 | Douglas Ahn | Family Medicine | 6 Rhoads Dr., Utica, NY 13502 | 2006-12-05 |
| 1003982836 | Robert Karl Chruscicki | Family Medicine | 288 Genesee Street, Utica, NY 13502-4620 | 2006-11-24 |
| 1154400745 | Roger H Meyer | Family Medicine | 800 3rd St, Utica, NE 68456-6162 | 2006-11-03 |
| 1982799862 | Anthony J Jadhon | Family Medicine | 1801 Whitesboro St, Utica, NY 13502-3719 | 2006-10-04 |
| 1730288762 | Mark Edward Griffing | Family Medicine | 2112 Genesee St, Utica, NY 13502-5629 | 2006-09-22 |
| 1174629422 | Mangala Patil | Family Medicine | 35 Riverside Dr., Utica, NY 13502 | 2006-09-15 |
| 1891739793 | Venkata R Mannava | Family Medicine | 320 Herkimer Road, Utica, NY 13502 | 2006-06-15 |
| 1518912641 | Cynthia L Jones | Family Medicine | 1651 Oneida St, Utica, NY 13501-4723 | 2006-05-24 |
| 1700877743 | Steven Sperling | Family Medicine | 6 Hampden Pl, Utica, NY 13502-5631 | 2005-10-31 |
| Find all providers in UTICA | ||||
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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.