STEPHANIE R. FREDERIC (NPI# 1356381800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356381800 |
| Entity Type | Individual |
| Full Name | STEPHANIE R. FREDERIC |
| Credential | M.D. |
| Practice Address |
7373 Perkins Rd. Baton Rouge LA 70808-4686 |
| Practice Telephone | 2257694044 |
| Mailing Telephone | 2257694044 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2017-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 026033 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1055042 | 05 |
| Street Address |
7373 PERKINS RD. |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70808-4686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417033739 | Everett J. Bonner Jr. | Surgery | 7373 Perkins Rd., Baton Rouge Clinic - Attn: Dee - Administration, Baton Rouge, LA 70808-4326 | 2006-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313161 | Leah Michelle Dlugolecki | Student in an Organized Health Care Education/Training Program | Lsu Psychiatry Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2020-03-31 |
| 1003376302 | Kristina Pham | Student in an Organized Health Care Education/Training Program | 5246 Brittany Drive, 3rd Floor, Baton Rouge, LA 70808 | 2019-03-22 |
| 1083174486 | John Jay Hogan | Student in an Organized Health Care Education/Training Program | Lsu Emergency Medicine Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2019-03-21 |
| 1033682075 | Joseph Bertell Davis Jr. | Case Manager/Care Coordinator | 2460 College Drive, Baton Rouge, LA 70808 | 2019-01-02 |
| 1508340886 | Jennifer Miatech | Student in an Organized Health Care Education/Training Program | 8585 Picardy Ave., Medical Tower 2, Baton Rouge, LA 70808 | 2018-09-21 |
| 1700389137 | Jenee Robins | Case Manager/Care Coordinator | 2100 College Dr Apt 159, Baton Rouge, LA 70808 | 2018-03-12 |
| 1952812893 | Da Vonna Dents | Behavioral Analyst | 418 Stoney Creek Ave, Baton Rouge, LA 70808 | 2017-10-18 |
| 1962925669 | Katharine Elizabeth Blum | Counselor | 7936 Wrenwood Blvd. Ste A, Baton Rouge, LA 70808 | 2017-07-25 |
| 1801316120 | Amie Jackson | Social Worker | 5420 Corporate Blvd. Ste 308, Baton Rouge, LA 70808 | 2017-06-27 |
| 1235660713 | Melissa A Eddy-shelby | Student in an Organized Health Care Education/Training Program | 5000 Hennessy Blvs, Suite 6004, Baton Rouge, LA 70808 | 2017-03-25 |
| Find all providers in zip 70808 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528421872 | Joshua Mark Pitre | Dermatology | 163 Burgin Ave, Baton Rouge, LA 70808-4925 | 2016-04-04 |
| 1972763340 | Nicole Matths Harrell | Dermatology | 5326 O'dovan Drive, Baton Rouge, LA 70808 | 2008-06-10 |
| 1053579862 | Dermasurgery Center, LLC | Dermatology | 7414 Picardy Ave, Suite C, Baton Rouge, LA 70808-4696 | 2008-05-28 |
| 1386783280 | Laci Lafleur Theunissen | Dermatology | 7855 Jefferson Hwy, Baton Rouge, LA 70809-1206 | 2007-02-06 |
| 1245397397 | Lynn Z. Tucker | Dermatology | 7388 Highland Rd, Ste. A, Baton Rouge, LA 70808-6601 | 2007-01-01 |
| 1902976921 | Ann C Zedlitz | Dermatology | 5326 Odonovan Dr, Baton Rouge, LA 70808-4691 | 2006-11-08 |
| 1710095120 | Chad Landon Prather | Dermatology | 6411 Perkins Rd Ste 100, Baton Rouge, LA 70808-4125 | 2006-08-26 |
| 1437186228 | Christopher James Mcewen | Dermatology | 5220 Flanders Dr, Baton Rouge, LA 70808 | 2006-06-27 |
| 1093742769 | Calais Dermatology Associates | Dermatology | 5220 Flanders Drive, Baton Rouge, LA 70808 | 2006-06-27 |
| 1952392318 | Mary Margaret Dobson | Dermatology | 5326 Odonovan Drive, Baton Rouge, LA 70808-1452 | 2005-11-03 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70808 |
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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.