HEATHER JANE FREDERICK (NPI# 1023232667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023232667 |
| Entity Type | Individual |
| Full Name | HEATHER JANE FREDERICK |
| Other Name | HEATHER JANE MUMMERY |
| Credential | M.D. |
| Practice Address |
5213 S Alston Ave Durham NC 27713-4430 |
| Mailing Address |
40 Duke Medicine Cir Durham NC 27710-4000 |
| Practice Telephone | 9196848111 |
| Mailing Telephone | 9196848111 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2012-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
200400671 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1023232667 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881175578 | Heather Leigh Frederick | Contractor | 5310 Moss Oak Trl, Lake Park, GA 31636-3300 | 2018-08-22 |
| 1003020249 | Heather Frederick | Community/Behavioral Health | 830 N Summit St Ste 2, Toledo, OH 43604-1884 | 2007-05-09 |
| 1346767829 | Heather Lynn Frederick | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-08-25 |
| 1871996371 | Heather A Frederick | Social Worker | 631 N Cedar Ave, Owatonna, MN 55060-2323 | 2014-09-29 |
| 1366877920 | Heather Eileen Frederick | Counselor | 31 Thurber Dr, Waterloo, NY 13165-1649 | 2013-09-13 |
| 1285911883 | Heather Joy Frederick | Pharmacist | 2727 N Maize Rd, T-1945, Wichita, KS 67205-7311 | 2011-11-10 |
| 1225177520 | Heather L. Frederick | Physical Medicine & Rehabilitation | 1525 Chapin Rd, Chapin, SC 29036-0337 | 2007-02-05 |
| Street Address |
5213 S ALSTON AVE |
| City | DURHAM |
| State | NC |
| Zip Code | 27713-4430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972599603 | John W Ragsdale IIi | Family Medicine | 5213 S Alston Ave, Durham, NC 27713-4430 | 2005-09-27 |
| 1649759978 | Laura Christine Schandert | Nurse Practitioner | 5213 S Alston Ave, Durham, NC 27713-4430 | 2018-08-08 |
| 1386034379 | Leigh Wilfley | Physical Therapist | 5213 S Alston Ave, Durham, NC 27713-4430 | 2015-01-28 |
| 1205225646 | Duke University Health System Inc | Rehabilitation Unit | 5213 S Alston Ave, Durham, NC 27713-4430 | 2015-01-22 |
| 1053664458 | Tara Nixon | Speech-Language Pathologist | 5213 S Alston Ave, Durham, NC 27713-4430 | 2012-10-23 |
| 1821378514 | Andrea Marlowe Winkler | Social Worker | 5213 S Alston Ave, Durham, NC 27713-4430 | 2011-08-25 |
| 1366748584 | Marcia R Eagle | Physical Therapist | 5213 S Alston Ave, Durham, NC 27713-4430 | 2011-02-05 |
| 1073813705 | Whitney Morgan Kramer | Physical Therapist | 5213 S Alston Ave, Durham, NC 27713-4430 | 2010-10-28 |
| 1003116807 | Megan Foreman Foureman | Registered Nurse | 5213 S Alston Ave, Durham, NC 27713-4430 | 2010-10-26 |
| 1477861771 | Sandra Rose Goodeve | Nurse Anesthetist, Certified Registered | 5213 S Alston Ave, Durham, NC 27713-4430 | 2010-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
| 1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
| 1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
| 1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
| 1497315352 | Mary Therese Wood | Social Worker | 1822 E Highway 54, Suite 300, Durham, NC 27713 | 2019-06-13 |
| 1720558307 | Kevin D Simmons | Counselor | 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 | 2018-11-27 |
| 1790265585 | Kelli Cryer | Counselor | 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 | 2018-08-21 |
| 1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
| 1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
| 1013401579 | Emily Louise Haller | Counselor | 1822 E Hwy 54, Suite 300, Durham, NC 27713 | 2018-06-19 |
| Find all providers in zip 27713 | ||||
| Taxonomy Code | 207LP3000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pediatric Anesthesiology |
| An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194833855 | Rutherford Anesthesiology Associates, LLP | Anesthesiology | 288 S. Ridgecrest Avenue, Rutherfordton, NC 28139 | 2006-08-25 |
| 1821653288 | Wakemed Specialists Group, LLC | Anesthesiology | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-01 |
| 1417478686 | Wake Specialty Physicians LLC | Anesthesiology | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2017-06-28 |
| 1417392234 | Jennifer Jutson Styons | Anesthesiology | 2080 W Arlington Blvd Ste B, Greenville, NC 27834 | 2013-05-07 |
| 1043535651 | Matthew Ramseur Mcdaniel | Anesthesiology | N2198 Unc Hospitals, 209 Macnider Cb 7010, Chapel Hill, NC 27599-7010 | 2010-04-07 |
| 1275656100 | James Edward Reid | Anesthesiology | 317 Western Blvd, Jacksonville, NC 28546-6338 | 2007-04-07 |
| 1447344692 | Laura Ann Hastings-wood | Anesthesiology | 1000 Blythe Blvd, Charlotte, NC 28203 | 2006-10-03 |
| 1982671616 | Samuel Ajizian | Anesthesiology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2006-03-01 |
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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.