Michael R Fredericks (NPI# 1699730341, PAC ID# 0547219271) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1699730341 |
PAC ID by PECOS | 0547219271 |
Professional Enrollment ID | I20050121000318 |
Full Name | Michael R Fredericks |
Organization Legal Name | DANVILLE UROLOGIC CLINIC INC |
Address |
429 E Commonwealth Blvd Southside Urology and Nephrology Martinsville VA 24112-2014 |
Phone Number | 2766387731 |
Gender | M |
Credential | MD |
Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1977 |
Primary Specialty | INTERNAL MEDICINE |
Secondary Specialties | NEPHROLOGY |
Group Practice PAC ID | 8022067743 |
Number of Group Practice Members | 14 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
490013 | SENTARA HALIFAX REGIONAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
1040 Main St, Danville, VA 24541-1816 | 4347921433216 | DANVILLE UROLOGIC CLINIC INC |
429 E Commonwealth Blvd, Southside Urology and Nephrology, Martinsville, VA 24112-2014 | 2766387731 | DANVILLE UROLOGIC CLINIC INC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_EP_1 | e-Prescribing | 96% | |
ACI_EC_TRANS_HIE_1 | Health Information Exchange | 83% | |
ACI_EC_TRANS_MR_1 | Medication Reconciliation | 98% | |
ACI_EC_TRANS_PEA_1 | Provide Patient Access | 96% | |
ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 9% | |
ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 88% | |
ACI_EC_TRANS_SM_1 | Secure Messaging | 14% |
Organization Legal Name | DANVILLE UROLOGIC CLINIC INC |
Physicians | 12 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amar A Parikh | Internal Medicine | Danville Urologic Clinic Inc | 1702 Nc Hwy 86 N, Yanceyville, NC 27379-8652 |
Florencio B Garcia | Internal Medicine | Danville Urologic Clinic Inc | 429 E Commonwealth Blvd, Southside Urology and Nephrology, Martinsville, VA 24112-2014 |
Rachel H Hyler | Nurse Practitioner | Danville Urologic Clinic Inc | 429 E Commonwealth Blvd, Southside Urology and Nephrology, Martinsville, VA 24112-2014 |
Namrita Baveja | Internal Medicine | Danville Urologic Clinic Inc | 429 E Commonwealth Blvd, Southside Urology and Nephrology, Martinsville, VA 24112-2014 |
Jacqueline W Adkins | Nurse Practitioner | Danville Urologic Clinic Inc | 429 E Commonwealth Blvd, Southside Urology and Nephrology, Martinsville, VA 24112-2014 |
Vishwanath N Halukurike | Internal Medicine | Danville Urologic Clinic Inc | 429 E Commonwealth Blvd, Southside Urology and Nephrology, Martinsville, VA 24112-2014 |
Elizabeth L Wells | Nurse Practitioner | Danville Urologic Clinic Inc | 429 E Commonwealth Blvd, Southside Urology and Nephrology, Martinsville, VA 24112-2014 |
April E Cassady | Nurse Practitioner | Danville Urologic Clinic Inc | 1040 Main St, Danville, VA 24541-1816 |
Laura Leigh Young Ligon | Nurse Practitioner | Danville Urologic Clinic Inc | 1040 Main St, Danville, VA 24541-1816 |
Yao-foli Sekyema | Internal Medicine | Danville Urologic Clinic Inc | 1702 Nc Hwy 86 N, Yanceyville, NC 27379-8652 |
Street Address |
429 E COMMONWEALTH BLVD SOUTHSIDE UROLOGY AND NEPHROLOGY |
City | MARTINSVILLE |
State | VA |
Zip | 24112-2014 |
Name | Specialty | Organization | Address |
---|---|---|---|
Florencio B Garcia | Internal Medicine | Danville Urologic Clinic Inc | 429 E Commonwealth Blvd, Southside Urology and Nephrology, Martinsville, VA 24112-2014 |
Rachel H Hyler | Nurse Practitioner | Danville Urologic Clinic Inc | 429 E Commonwealth Blvd, Southside Urology and Nephrology, Martinsville, VA 24112-2014 |
Namrita Baveja | Internal Medicine | Danville Urologic Clinic Inc | 429 E Commonwealth Blvd, Southside Urology and Nephrology, Martinsville, VA 24112-2014 |
Jacqueline W Adkins | Nurse Practitioner | Danville Urologic Clinic Inc | 429 E Commonwealth Blvd, Southside Urology and Nephrology, Martinsville, VA 24112-2014 |
Vishwanath N Halukurike | Internal Medicine | Danville Urologic Clinic Inc | 429 E Commonwealth Blvd, Southside Urology and Nephrology, Martinsville, VA 24112-2014 |
Elizabeth L Wells | Nurse Practitioner | Danville Urologic Clinic Inc | 429 E Commonwealth Blvd, Southside Urology and Nephrology, Martinsville, VA 24112-2014 |
Laurie A Wilmoth | Nurse Practitioner | Danville Urologic Clinic Inc | 429 E Commonwealth Blvd, Southside Urology and Nephrology, Martinsville, VA 24112-2014 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michael Edward Ford | Optometry | 240 Commonwealth W Blvd, Martinsville, VA 24112-1800 | |
Candice Elise Earp | Nurse Practitioner | Medexpress Urgent Care, PC - Virginia | 105 Commonwealth Blvd W, Martinsville, VA 24112-1806 |
Gina L Varner | Nurse Practitioner | Piedmont Access To Health Services Inc | 287 Commonwealth W Blvd, Martinsville, VA 24112-1820 |
Amy M Bowles | Physician Assistant | Piedmont Access To Health Services Inc | 287 Commonwealth W Blvd, Martinsville, VA 24112-1820 |
Sara M Swanson | Nurse Practitioner | Piedmont Access To Health Services Inc | 287 Commonwealth W Blvd, Martinsville, VA 24112-1820 |
Kareem A Hamdy | General Surgery | K. A. Hamdy, M.d., P.C. | 110 Commonwealth Blvd W, Martinsville, VA 24112-1832 |
Terry Michelle Hamdy | Nurse Practitioner | K. A. Hamdy, M.d., P.C. | 110 Commonwealth Blvd W, Martinsville, VA 24112-1832 |
Douglas M Christman | Optometry | 976 Commonwealth Blvd, Martinsville, VA 24112-1887 | |
Faran D Rashid | Hospitalist | Apogee Medical Group Virginia | 320 Hospital Dr, Martinsville, VA 24112-1900 |
Bennett I Fein | Gastroenterology | Martinsville Physician Practices LLC | 320 Hospital Dr, Martinsville, VA 24112-1900 |
Find all physicians in zip 24112 |
City | MARTINSVILLE |
Zip Code | 24112 |
Specialty | INTERNAL MEDICINE |
City + Specialty | MARTINSVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Michael R Fredericks.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.