CHAD FREDERICKSON (NPI# 1104262617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104262617 |
Entity Type | Individual |
Full Name | CHAD FREDERICKSON |
Practice Address |
Infirmary Rd Baton Rouge LA 70803-2401 |
Practice Telephone | 2255785633 |
Practice Fax Number | 2255785655 |
Mailing Telephone | 2255785633 |
Mailing Fax Number | 2255785655 |
Enumeration Date | 2013-05-13 |
Last Update Date | 2013-05-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
ATH.200132 | LA | Allopathic & Osteopathic Physicians |
Street Address |
INFIRMARY RD |
City | BATON ROUGE |
State | LA |
Zip Code | 70803-2401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922000553 | Leslie Sullivan Elkins | Family Medicine | Infirmary Rd, Baton Rouge, LA 70803-0001 | 2005-08-12 |
1255992368 | Janell Soileau | Nurse Practitioner | Infirmary Rd, Baton Rouge, LA 70803-0001 | 2019-06-28 |
1619168846 | Katy Wiltz | Dermatology | Infirmary Rd, Baton Rouge, LA 70803-0001 | 2007-08-05 |
1720201908 | Louisiana State University and A & M College Student Health Center | Clinic/Center | Infirmary Rd, Lsu Campus, Baton Rouge, LA 70803-2401 | 2007-04-10 |
1356318620 | Alicia Rutherford Restivo | Nurse Practitioner | Infirmary Rd, Baton Rouge, LA 70803-0001 | 2006-03-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649822164 | Joshua Vaughn Bunch | Specialist/Technologist | Lsu Athletic Department, Athletic Training, North Stadium Drive, Baton Rouge, LA 70803 | 2019-07-15 |
1225512767 | Louisiana State University | Pharmacy | 1 North Stadium Drive, Broussard Center for Athletic Training, Baton Rouge, LA 70803 | 2018-09-20 |
1447652433 | Joshua Pratt | Specialist/Technologist | Lsu Athletic Training, Athletic Administration Building, Baton Rouge, LA 70803 | 2014-09-22 |
1851709216 | Derek Calvert | Specialist/Technologist | Lsu Athletic Administration Building, Athletic Training Room, Baton Rouge, LA 70803 | 2014-07-30 |
1770924599 | Malena Badon | Clinical Medical Laboratory | 340 East Parker Street, Baton Rouge, LA 70803 | 2013-07-09 |
1649394057 | Cheryl Larrieu Bourg | Pharmacist | Lsu Student Health Center Pharmacy, Infirmary Road, Lsu, Baton Rouge, LA 70803 | 2007-03-19 |
1548369465 | Louisiana State Univ Students Health Ctr | Pharmacist | Infirmary Road, Room 172 Pharmacy, Baton Rouge, LA 70803 | 2006-09-21 |
1912937145 | Louisiana Emergency & Trauma Specialists | Emergency Medicine | 3600 Florida Blvd, Baton Rouge, LA 70803 | 2006-07-04 |
1295373025 | Jacqueline Casey Crouch | Student in an Organized Health Care Education/Training Program | North Stadium Drive Athletics Administration Building, Baton Rouge, LA 70803-0001 | 2019-12-11 |
1013552512 | Kelly Stephens | Specialist/Technologist | 1 North Stadium Dr, Baton Rouge, LA 70803-0001 | 2019-11-08 |
Find all providers in zip 70803 |
Taxonomy Code | 2081S0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Sports Medicine |
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962062729 | Maria Berthiaume | Physical Medicine & Rehabilitation | Lsu Broussard Center for Athletic Training, Baton Rouge, LA 70803-0001 | 2019-06-14 |
1922667641 | Hannah Roudebush | Physical Medicine & Rehabilitation | Lsu Athletic Administration Building, Baton Rouge, LA 70803-0001 | 2019-06-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588086318 | Joseph Marino Jr. | Physical Medicine & Rehabilitation | 311 Tournament Blvd, Berwick, LA 70342-2025 | 2014-01-14 |
1952887028 | Ryan Guillot | Physical Medicine & Rehabilitation | 504 Rue De Sante, La Place, LA 70068-5418 | 2018-07-12 |
1053824615 | Brittany Dale | Physical Medicine & Rehabilitation | 340 Falconer Dr, Covington, LA 70433-8204 | 2017-11-06 |
1578073961 | Samantha Kenzie Bequette | Physical Medicine & Rehabilitation | 5620 Read Blvd, New Orleans, LA 70127-3106 | 2017-10-11 |
1104342385 | Justin Alexander Rohrman | Physical Medicine & Rehabilitation | 308 Warhawk Way, Monroe, LA 71203 | 2017-08-18 |
1760906333 | Damion Spillman | Physical Medicine & Rehabilitation | 733 Keyser Ave Ste 100, Natchitoches, LA 71457-0039 | 2017-07-26 |
1154704724 | Victoria Hamby | Physical Medicine & Rehabilitation | 1501 Louisville Ave, Monroe, LA 71201-6025 | 2015-07-01 |
1932423951 | Nicholas Paul Goyeneche | Physical Medicine & Rehabilitation | 1000 Ochsner Blvd, Covington, LA 70433-8107 | 2010-03-19 |
1598831943 | Anthony Phillip Miller | Physical Medicine & Rehabilitation | 1010 S Polk St, Suite 2, Covington, LA 70433-2474 | 2006-11-28 |
1770690984 | Felicia Denise Sankey | Physical Medicine & Rehabilitation | 1800 Irving Pl, Shreveport, LA 71101-4608 | 2006-08-24 |
Find all providers with the same taxonomy |
City | BATON ROUGE |
Zip Code | 70803 |
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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.