Derek Frederickson (NPI# 1518184514, PAC ID# 4789758616) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1518184514 |
| PAC ID by PECOS | 4789758616 |
| Professional Enrollment ID | I20080811000323 |
| Full Name | Derek Frederickson |
| Address |
31 Pine St Suite 300 Norfolk MA 02056-1642 |
| Gender | M |
| Graduation Year | 2002 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220126 | NORWOOD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 31 Pine St, Suite 300, Norfolk, MA 02056-1642 |
| Street Address |
31 PINE ST SUITE 300 |
| City | NORFOLK |
| State | MA |
| Zip | 02056-1642 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mehdi Najafi | Ophthalmology | Eye Care Specialists PC | 31 Pine St, Suite 201, Norfolk, MA 02056-1642 |
| Mohamad R El Zaru | Cardiovascular Disease (cardiology) | Pondville Medical Associates LLC | 31 Pine St, Suite 300, Norfolk, MA 02056-1680 |
| Viktoriya Vilkomir | Optometry | Eye Care Specialists PC | 31 Pine St, Suite 201, Norfolk, MA 02056-1642 |
| Ahmed S Basheer | Internal Medicine | Pondville Medical Associates LLC | 31 Pine St, Suite 300, Norfolk, MA 02056-1680 |
| John J Adams | Internal Medicine | Pondville Medical Associates LLC | 31 Pine St, Suite 300, Norfolk, MA 02056-1680 |
| Hua Zhang | Internal Medicine | Pondville Medical Associates LLC | 31 Pine St, Suite 300, Norfolk, MA 02056-1680 |
| Michael Higgins | Internal Medicine | Pondville Medical Associates LLC | 31 Pine St, Suite 300, Norfolk, MA 02056-1680 |
| Daniel L Schwartz | Ophthalmology | Eye Care Specialists PC | 31 Pine St, Suite 201, Norfolk, MA 02056-1642 |
| Raymond Paul Blanc | Urology | 31 Pine St, Suite 203, Norfolk, MA 02056-1642 | |
| Riad K Mortada | Internal Medicine | Pondville Medical Associates LLC | 31 Pine St, Suite 300, Norfolk, MA 02056-1680 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jean A Croll | Occupational Therapy | 52 Noon Hill Ave, Norfolk, MA 02056-1161 | |
| Karen M Nolan | Nurse Practitioner | 146 Main St, Suite 2b, Norfolk, MA 02056-1322 | |
| George Blumental | Dermatology | Kmn Dermatology and Aesthetics PC | 146 Main St, Suite 2b, Norfolk, MA 02056-1322 |
| Stephen A Costantino | Physical Therapy | Physical Therapy and Sports Rehab Inc | 5 Liberty Ln, Norfolk, MA 02056-1446 |
| Marisa Palumbo | Optometry | Eye Care Specialists PC | 31 Pine St, Suite 201, Norfolk, MA 02056-1642 |
| John T Frasca | Vascular Surgery | 31 Pine St, Suite 202, Norfolk, MA 02056-1680 | |
| Kyle E Martinis | Physical Therapy | Personal Best Physical Therapy of Norfolk LLC | 65 Holbrook St, Suite 130, Norfolk, MA 02056-1849 |
| Emily J Heller | Physical Therapy | Personal Best Physical Therapy of Norfolk LLC | 65 Holbrook St, Suite 130, Norfolk, MA 02056-1849 |
| City | NORFOLK |
| Zip Code | 02056 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | NORFOLK + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Derek Frederickson.
| 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.