PETER JAMES FREDERICKS (NPI# 1871025791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871025791 |
| Entity Type | Individual |
| Full Name | PETER JAMES FREDERICKS |
| Credential | MD |
| Practice Address |
1830 E Monument St Suite 6-100 Baltimore MD 21287-0020 |
| Mailing Address |
1741 W Melrose St Fb2 Chicago IL 60657-1136 |
| Practice Telephone | 4109553380 |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003010919 | Peter Daniel Fredericks | Orthopaedic Surgery | 175 S Union Blvd Ste 300, Colorado Springs, CO 80910-3126 | 2007-06-13 |
| Street Address |
1830 E MONUMENT ST SUITE 6-100 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21287-0020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679565840 | Stuart Campbell Ray | Internal Medicine | 1830 E Monument St, Suite 319, Baltimore, MD 21287-0020 | 2005-08-16 |
| 1447894803 | Rebecca Lynne Becker | Physician Assistant | 1830 E Monument St, Baltimore, MD 21287-0020 | 2019-10-29 |
| 1235788324 | Jordan Feltes | Student in an Organized Health Care Education/Training Program | 1830 E Monument St, Baltimore, MD 21287-0020 | 2019-09-10 |
| 1679122188 | Whitney Hucks | Student in an Organized Health Care Education/Training Program | 1830 E Monument St, Baltimore, MD 21287-0020 | 2019-09-06 |
| 1750949608 | Richard White | Student in an Organized Health Care Education/Training Program | 1830 E Monument St, Baltimore, MD 21287-0020 | 2019-06-04 |
| 1720510167 | Valerie Osula | Student in an Organized Health Care Education/Training Program | 1830 E Monument St, Suite 6-100, Baltimore, MD 21287-0020 | 2017-04-03 |
| 1780116202 | Alexandra Toporek | Student in an Organized Health Care Education/Training Program | 1830 E Monument St, Baltimore, MD 21287-0020 | 2017-04-03 |
| 1689106635 | Lukas Ramcharran | Student in an Organized Health Care Education/Training Program | 1830 E Monument St, Suite 6-100, Baltimore, MD 21287-0020 | 2017-03-29 |
| 1952833287 | Rabbia Saeed | Student in an Organized Health Care Education/Training Program | 1830 E Monument St, Suite 6-100, Baltimore, MD 21287-0020 | 2017-03-28 |
| 1649701186 | Russell Michael D'anton | Student in an Organized Health Care Education/Training Program | 1830 E Monument St, Suite 6-100, Baltimore, MD 21287-0020 | 2017-03-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140503 | Thomas Dimitrios Zaikos | Student in an Organized Health Care Education/Training Program | Pathology Building Rm. 401, 600 N. Wolfe Street, Baltimore, MD 21287 | 2020-07-01 |
| 1316572175 | Sarah Branigan | Pediatrics | Johns Hopkins Children's Center, 1800 Orleans Street, Baltimore, MD 21287 | 2020-03-11 |
| 1790318657 | Margaret Geraldine Keane | Internal Medicine | Sheikh Zayed Tower, 1800 Orleans St, Baltimore, MD 21287 | 2020-02-19 |
| 1699322636 | Lakeya Mcgill | Student in an Organized Health Care Education/Training Program | 600 North Wolfe St, Phipps 174, Baltimore, MD 21287 | 2019-08-23 |
| 1245882406 | Ranim Amer Ibrahim Alsaad | Student in an Organized Health Care Education/Training Program | 1800 Orleans Street - Johns Hopkins Hospital, Tower 110, Baltimore, MD 21287 | 2019-07-09 |
| 1992364004 | Anthony David Pisaniello | Student in an Organized Health Care Education/Training Program | 1800 Orleans St, Johns Hopkins Hospital, Baltimore, MD 21287 | 2019-06-12 |
| 1255990503 | Ethan Tumarkin | Student in an Organized Health Care Education/Training Program | 600 N. Wolfe St./halsted 500, Baltimore, MD 21287 | 2019-06-11 |
| 1629636386 | Kathleen Anne Malloy | Counselor | Jhh 600 N. Wolfe St., Cpp- Meyer 144, Baltimore, MD 21287 | 2019-05-29 |
| 1285298489 | Ashleigh Graham | Student in an Organized Health Care Education/Training Program | Pathology Building, Rm 401, 600 N. Wolfe Street, Baltimore, MD 21287 | 2019-04-24 |
| 1851955066 | Seena Tabibi | Student in an Organized Health Care Education/Training Program | Pathology Department Johns Hopkins University Som, Pathology Building Rm 401, 600 North Wolfe Street, Baltimore, MD 21287 | 2019-04-24 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355879 | Cristina Diana Ghinda | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St Bldg 8, Baltimore, MD 21287-0005 | 2020-10-27 |
| 1265043160 | Kathryn Ann Ritchie | Student in an Organized Health Care Education/Training Program | 1750 E Fairmount Ave Dept Of, Baltimore, MD 21231-1534 | 2020-08-13 |
| 1053929372 | Rod Guerrero Salgado | Student in an Organized Health Care Education/Training Program | 140 N Luzerne Ave, Baltimore, MD 21224-1147 | 2020-07-22 |
| 1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
| 1174140503 | Thomas Dimitrios Zaikos | Student in an Organized Health Care Education/Training Program | Pathology Building Rm. 401, 600 N. Wolfe Street, Baltimore, MD 21287 | 2020-07-01 |
| 1649897158 | Michael William Mikula | Student in an Organized Health Care Education/Training Program | Pathology Bldg., Rm. 401, 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-06-30 |
| 1154948743 | Kamilah S Brown | Student in an Organized Health Care Education/Training Program | 437 E Lorraine Ave, Baltimore, MD 21218-4713 | 2020-06-29 |
| 1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
| 1467077479 | Nashedra Barry | Student in an Organized Health Care Education/Training Program | 301 N Charles St Apt M1, Baltimore, MD 21201-4397 | 2020-06-15 |
| 1205451804 | Ryan Robert Keoni Ingle | Student in an Organized Health Care Education/Training Program | 29 S Greene St Ste 400, Baltimore, MD 21201-1504 | 2020-06-10 |
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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.