ANTONY FRIERDICH (NPI# 1962871558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962871558 |
| Entity Type | Individual |
| Full Name | ANTONY FRIERDICH |
| Practice Address |
22 South 13th Street Belleville IL 62220 |
| Mailing Address |
22 S 13th St Belleville IL 62220-1834 |
| Practice Telephone | 6185419751 |
| Mailing Telephone | 6185419751 |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2015-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
096003858 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
22 SOUTH 13TH STREET |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144729716 | St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of | Clinic/Center | 180 South Third Street Suite 101, Belleville, IL 62220 | 2018-02-08 |
| 1437675535 | Prorehab PC | Occupational Therapist | 1915 Carlyle Ave, Ste D, Belleville, IL 62220 | 2017-08-21 |
| 1629527650 | Arika Forrest | Nurse Practitioner | 140 Iowa Ave, Belleville, IL 62220 | 2016-10-03 |
| 1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
| 1588032858 | Dana Wright | Pharmacist | 211 South Thrid Street, Belleville, IL 62220 | 2015-09-03 |
| 1629208731 | Lisa Marlow Johnson | Developmental Therapist | 34 Fenwood Dr, Belleville, IL 62220 | 2009-07-23 |
| 1841361623 | Neurological Surgery of Belleville | Neurological Surgery | 340 West Lincoln Street, Suite 540, Belleville, IL 62220 | 2006-11-13 |
| 1689769119 | Kathy Jo Corn | Counselor | 521 W. Main, Suite 201 B, Belleville, IL 62220 | 2006-10-03 |
| 1780609578 | Southern Illinois Health Care Foundation, Inc. | Counselor | 180 S 3rd St Ste 103&104, Belleville, IL 62220 | 2006-07-13 |
| 1043263874 | Raymond Glenn Varnum | Pharmacist | 1406 W Main St, Belleville, IL 62220 | 2006-05-19 |
| Find all providers in zip 62220 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588131767 | Ezekiel Joubert Jr. | Specialist/Technologist | 24261 Elwell Rd, Belleville, MI 48111-9412 | 2018-10-25 |
| 1033607403 | Lindsey Caroline Woller | Specialist/Technologist | 7161 Frenchtown Rd, Belleville, WI 53508-9530 | 2018-05-01 |
| 1649710419 | Frank M. Aiello | Specialist/Technologist | 68 Emmet St, Belleville, NJ 07109-2315 | 2017-02-27 |
| 1124487137 | Dani Collins | Specialist/Technologist | 212 S Virginia Ave, Belleville, IL 62220-3883 | 2016-02-18 |
| 1275915712 | Jason Patrick Williams | Specialist/Technologist | 11225 Morton Taylor Rd, Belleville, MI 48111-1330 | 2015-06-21 |
| 1619367505 | Aaron Kremmel | Specialist/Technologist | 105 Whiteside Dr, Belleville, IL 62221-2558 | 2015-01-29 |
| 1316233224 | Rodney Dean Ford Jr. | Specialist/Technologist | 4550 Memorial Dr. Office Center One Ste G100, Belleville, IL 62226-5372 | 2011-06-20 |
| 1528376191 | Marissa Radice | Specialist/Technologist | 17 Pleasant Ave, Belleville, NJ 07109-1329 | 2010-09-16 |
| 1083758528 | Cynthia Jo Bowers | Specialist/Technologist | 6452 Denton Rd, Belleville, MI 48111-1015 | 2007-02-17 |
| 1346207008 | Joseph Anthony Porcello | Specialist/Technologist | 96 Belmohr St, Belleville, NJ 07109-2202 | 2006-04-27 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62220 |
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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.