James D Frederick (NPI# 1881798502, PAC ID# 3971571100) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1881798502 |
| PAC ID by PECOS | 3971571100 |
| Professional Enrollment ID | I20040924000094 |
| Full Name | James D Frederick |
| Organization Legal Name | FREDERICK MEDICAL CLINIC, PSC |
| Address |
430 Liberty Rd West Liberty KY 41472-2049 |
| Phone Number | 6067433114 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 1972 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6608055272 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 181307 | MORGAN COUNTY ARH HOSPITAL |
| 180018 | ST CLAIRE REGIONAL MEDICAL CENTER |
| 180067 | UNIVERSITY OF KENTUCKY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 430 Liberty Rd, West Liberty, KY 41472-2049 | 6067433114 | FREDERICK MEDICAL CLINIC, PSC |
| Organization Legal Name | FREDERICK MEDICAL CLINIC, PSC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Lynn Frederick | Nurse Practitioner | Frederick Medical Clinic, Psc | 430 Liberty Rd, West Liberty, KY 41472-2049 |
| Brittany Lynn Engle | Nurse Practitioner | Frederick Medical Clinic, Psc | 430 Liberty Rd, West Liberty, KY 41472-2049 |
| Street Address |
430 LIBERTY RD |
| City | WEST LIBERTY |
| State | KY |
| Zip | 41472-2049 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Lynn Frederick | Nurse Practitioner | Frederick Medical Clinic, Psc | 430 Liberty Rd, West Liberty, KY 41472-2049 |
| Brittany Lynn Engle | Nurse Practitioner | Frederick Medical Clinic, Psc | 430 Liberty Rd, West Liberty, KY 41472-2049 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joel K Nickell | Optometry | 408 Main St, West Liberty, KY 41472-1014 | |
| Matthew K Whitt | Chiropractic | 650 Main St, West Liberty, KY 41472-1018 | |
| Leslie Brent Davis | Physician Assistant | Faith Family Practice Pllc | 801 Main St, West Liberty, KY 41472-1021 |
| Steven A Conrotto | Family Medicine | Faith Family Practice Pllc | 801 Main St, West Liberty, KY 41472-1021 |
| Andrei Korossy | Physical Therapy | Ckw Physical Therapy Inc | 389 Prestonsburg St, West Liberty, KY 41472-1137 |
| Daniel C Holt | Family Medicine | Southern Medical Partners, LLC | 476 Liberty Rd, West Liberty, KY 41472-2049 |
| Rita W Allen | Nurse Practitioner | Appalachian Regional Healthcare Inc. | 476 Liberty Rd, West Liberty, KY 41472-2049 |
| Chandan Sahay | Internal Medicine | Southern Medical Partners, LLC | 476 Liberty Rd, West Liberty, KY 41472-2049 |
| Salahadin M Gharad | Cardiovascular Disease (cardiology) | Appalachian Regional Healthcare Inc. | 476 Liberty Rd, West Liberty, KY 41472-2049 |
| Robert Emerick | Interventional Cardiology | Appalachian Regional Healthcare Inc. | 476 Liberty Rd, West Liberty, KY 41472-2049 |
| Find all physicians in zip 41472 | |||
| City | WEST LIBERTY |
| Zip Code | 41472 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WEST LIBERTY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on James D Frederick.
| 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.