JONATHAN FREDERICK (NPI# 1346397239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346397239 |
| Entity Type | Individual |
| Full Name | JONATHAN FREDERICK |
| Credential | MD |
| Practice Address |
398 Ashe Blvd Sheffield AL 35660-1729 |
| Practice Telephone | 2563831499 |
| Mailing Telephone | 2563831499 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2011-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
AL5271 | AL | Dental Providers |
| Y | 204E00000X | Oral & Maxillofacial Surgery | AL28212 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
398 ASHE BLVD |
| City | SHEFFIELD |
| State | AL |
| Zip Code | 35660-1729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306802665 | Christopher Baylis Nester | Dentist | 398 Ashe Blvd, Sheffield, AL 35660-1729 | 2006-04-25 |
| 1700386091 | Comprehensive Family Services, LLC | Social Worker | 398 Ashe Blvd, Sheffield, AL 35660 | 2018-02-13 |
| 1548769920 | Maryellen Mcilwain Mayfield | Social Worker | 398 Ashe Blvd, Sheffield, AL 35660-1729 | 2018-02-12 |
| 1134597933 | Mary Campbell Brooker | Social Worker | 398 Ashe Blvd, Sheffield, AL 35660 | 2015-09-10 |
| 1083662290 | Oral & Facial Surgery of The Shoals, L.L.C. | Dentist | 398 Ashe Blvd, Sheffield, AL 35660-1729 | 2006-05-04 |
| 1720045685 | Mark Ray Mcilwain | Dentist | 398 Ashe Blvd, Sheffield, AL 35660-1729 | 2006-04-26 |
| 1326005299 | Russell Mcneil Fraser | Dentist | 398 Ashe Blvd, Sheffield, AL 35660-1729 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517317 | Remedy Behavioral Health | Social Worker | 1001 S. Jackson Highway, Shelfield, AL 35660 | 2020-10-27 |
| 1336557446 | Hh Health System - Retail Pharmacy LLC | Pharmacy | 1300 S. Montgomery Ave., Sheffield, AL 35660 | 2014-08-01 |
| 1760647556 | James Ryan Conner | Specialist | 1120 S. Jackson Hwy, Suite 105, Sheffield, AL 35660 | 2008-07-22 |
| 1285894618 | Steven B Snyder | Obstetrics & Gynecology | 1120 Jackson Highway, Suite 104, Sheffield, AL 35660 | 2008-06-10 |
| 1124105671 | Shoals Ear Nose & Throat Group PC | Otolaryngology | 421 Cox Blvd, Sheffield, AL 35660 | 2006-11-01 |
| 1356363816 | Visunda Shay Giddy | Social Worker | 422 Dd Cox Boulevard, Sheffield, AL 35660 | 2006-07-24 |
| 1467405787 | Lisa M Christian | Obstetrics & Gynecology | 1100 South Montgomery Ave, Suite 259, Sheffield, AL 35660 | 2006-05-18 |
| 1437114055 | Mark A Kassels | Ophthalmology | 1110 S. Montgomery Ave, Sheffield, AL 35660 | 2006-04-18 |
| 1982113312 | The Treatment Centers, Inc. | Clinic/Center | 3430 N Jackson Hwy, Sheffield, AL 35660 | 2017-09-28 |
| 1619364791 | Kelli Roberson | Nurse Practitioner | 342 Cox Blvd, Sheffield, AL 35660 | 2015-04-16 |
| Find all providers in zip 35660 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760895866 | Kelly Sue Sayre | Oral & Maxillofacial Surgery | 2000 6th Ave S Fl 1, Birmingham, AL 35233-2110 | 2014-06-05 |
| 1528101698 | Leroy A Kamelchuk | Oral & Maxillofacial Surgery | 1107 Gleneagles Dr Sw, Huntsville, AL 35801-6405 | 2007-02-15 |
| 1528162773 | William Carl Ray Jr. | Oral & Maxillofacial Surgery | 9133 Parkway East, Birmingham, AL 35206-1508 | 2006-09-11 |
| 1194838557 | Allan Koplan | Oral & Maxillofacial Surgery | 3332 Old Montgomery Hwy, Ste 111, Birmingham, AL 35209-4249 | 2006-08-17 |
| 1720034531 | Bobby R Lewis | Oral & Maxillofacial Surgery | 3029 Allison Bonnett Memorial Dr, Bessemer, AL 35023-2364 | 2006-05-25 |
| 1780636233 | Premier Anesthesia of Montgomery PC | Oral & Maxillofacial Surgery | 2105 East South Blvd, Montgomery, AL 36116 | 2006-05-16 |
| 1437114246 | Philip B Elledge | Oral & Maxillofacial Surgery | 2314 Pansy St Sw, Huntsville, AL 35801-3803 | 2006-04-18 |
| 1013529296 | Matthew B Fay | Oral & Maxillofacial Surgery | 715 Downtowner Blvd, Mobile, AL 36609-5401 | 2020-08-19 |
| 1578123980 | Jordan Gigliotti | Oral & Maxillofacial Surgery | 2000 6th Ave S Fl 1, Birmingham, AL 35233-2110 | 2019-06-18 |
| 1871085415 | Alabama Surgical Arts, LLC | Oral & Maxillofacial Surgery | 4590 Woodmere Blvd, Montgomery, AL 36106-2918 | 2018-05-30 |
| Find all providers with the same taxonomy | ||||
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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.