CHAD FREDERICKSON


Address: Infirmary Rd, Baton Rouge, LA 70803-2401
Phone: 2255785633

CHAD FREDERICKSON (NPI# 1104262617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2081S0010X Physical Medicine & Rehabilitation
Specialization: Sports Medicine
ATH.200132 LA Allopathic & Osteopathic Physicians

Office Location

Street Address INFIRMARY RD
City BATON ROUGE
State LA
Zip Code 70803-2401

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 2081S0010X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Sports Medicine

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City BATON ROUGE
Zip Code 70803

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Dataset Information

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.

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