JENNIFER FREDERICKS (NPI# 1861686123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861686123 |
| Entity Type | Individual |
| Full Name | JENNIFER FREDERICKS |
| Credential | M.D. |
| Practice Address |
@ Columbia Drive J402 Tampa FL 33606 |
| Practice Telephone | 8138447412 |
| Mailing Telephone | 8138447412 |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2010-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | ME106514 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FL BCBS | 148MZ | 01 |
| FL | 002280100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093743163 | Jennifer S Fredericks | Family Medicine | 820 S Il Route 59, Bartlett, IL 60103-1694 | 2006-06-29 |
| Street Address |
@ COLUMBIA DRIVE J402 |
| City | TAMPA |
| State | FL |
| Zip Code | 33606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235758749 | Seyed Shayan Ahmad Falasiri | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. #308, Tampa, FL 33606 | 2020-04-14 |
| 1174156400 | Jessica Styles | Specialist/Technologist | The University of Tampa, 401 W. Kennedy Blvd, Tampa, FL 33606 | 2020-02-14 |
| 1295389757 | David Green | Specialist/Technologist | 401 W. Kennedy Blvd Box: I, Tampa, FL 33606 | 2019-08-01 |
| 1417514720 | Four Winds Counseling LLC | Counselor | 611 West Bay Street, Tampa, FL 33606 | 2019-05-22 |
| 1699238014 | Azubuogu Charles Anudu | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd., Suite 308 Tampa, Fl 33606, Tampa, FL 33606 | 2019-04-11 |
| 1508327883 | D'arcy Jocelyn Arden Wainwright | Student in an Organized Health Care Education/Training Program | 17 David Blvd., Suite 308, Tampa, FL 33606 | 2019-03-28 |
| 1659851772 | Heather Widmer | Counselor | 202 N Howard Ave, Tampa, FL 33606 | 2018-08-17 |
| 1447737291 | Jonathan T Bell | Marriage & Family Therapist | 425 S. Orleans Ave, Tampa, FL 33606 | 2018-07-24 |
| 1184157539 | Alexander Lim | Student in an Organized Health Care Education/Training Program | 17 David Blvd, Suite 308, Tampa, FL 33606 | 2017-04-04 |
| 1760913057 | Melanie Loretta Bradley | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. Suite 308, University of South Florida, Morsani College of Medicin, Tampa, FL 33606 | 2017-03-27 |
| Find all providers in zip 33606 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407472723 | Dispatchhealth-florida Inc. | Emergency Medicine | 5421 Beaumont Center Blvd Ste 660, Tampa, FL 33634-5223 | 2020-06-23 |
| 1053796342 | Tomislav Jelic | Emergency Medicine | One Davis Blvd, Suite 503, Tampa, FL 33606 | 2015-07-28 |
| 1669857108 | Keystone Medical Services of Tn, Pa | Emergency Medicine | 1201 W Swann Ave, Tampa, FL 33606-2639 | 2015-07-27 |
| 1710383849 | Jamshed Ahmad | Emergency Medicine | 11136 Ancient Futures Dr, Tampa, FL 33647-3577 | 2014-11-18 |
| 1124421409 | Bay Area Emergency Physicians Urgent Care LLC | Emergency Medicine | 6909 W Waters Ave, Tampa, FL 33634-2213 | 2014-10-01 |
| 1164842225 | Travel Doctor, Pl | Emergency Medicine | 10970 Cross Creek Blvd., Suite D, Tampa, FL 33647-4034 | 2014-04-16 |
| 1508283482 | Christian Nader Sobky | Emergency Medicine | 3614 Cypress Meadows Rd, Tampa, FL 33624-2912 | 2014-03-27 |
| 1104180538 | John Peter Santamaria | Emergency Medicine | 11327 Carrollwood Dr, Tampa, FL 33618-3703 | 2012-06-29 |
| 1710133673 | Jennifer Anne Locke | Emergency Medicine | 3001 West Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2008-08-12 |
| 1336302348 | Sumera Haroon Memon | Emergency Medicine | 12950 Race Track Rd, Suite 106, Tampa, FL 33626-1309 | 2008-07-09 |
| Find all providers in TAMPA | ||||
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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.