JEUNESSE FREDRICKSON (NPI# 1396035937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396035937 |
| Entity Type | Individual |
| Full Name | JEUNESSE FREDRICKSON |
| Other Name | JEUNESSE GRENOBLE |
| Credential | M.D. |
| Practice Address |
1 Mercado St. Ste. 105 Durango CO 81301-7311 |
| Mailing Address |
30 N 1900 E Rm 2b200 Salt Lake City UT 84132-0002 |
| Practice Telephone | 9703828800 |
| Practice Fax Number | 9703820122 |
| Enumeration Date | 2011-04-17 |
| Last Update Date | 2015-06-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | DR0054655 | CO | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1 MERCADO ST. STE. 105 |
| City | DURANGO |
| State | CO |
| Zip Code | 81301-7311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790070944 | Catholic Health Initiatives Colorado | Massage Therapist | 1 Mercado St., Suite 230, Durango, CO 81301 | 2011-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003541 | High Country Counseling, LLC | Social Worker | 101 East 31st Street, Unit B, Durango, CO 81301 | 2019-09-20 |
| 1033629431 | Southern Rockies Addiction Treatment Services | Substance Abuse Rehabilitation Facility | 736 Goeglein Gulch, Durango, CO 81301 | 2017-10-11 |
| 1649710583 | Dr. Michael Washinsky, LLC | Psychiatry & Neurology | 1800 East 3rd Ave., Suite 102, Durango, CO 81301 | 2017-02-25 |
| 1578000113 | Taylor Ferraro | Prevention Professional | 221 E 4th Ave Unit B, Durango, CO 81301 | 2017-01-20 |
| 1467811224 | Newelldixon, Pllc | Clinic/Center | 29423 E. Highway 160, Durango, CO 81301 | 2016-02-22 |
| 1699146803 | Leah Linder | Naturopath | 117 Cr 250. Suite A, Durango, CO 81301 | 2015-10-14 |
| 1780065136 | Jeffrey Hines | Occupational Therapy Assistant | 970 Silver Mesa Driveway, Durango, CO 81301 | 2015-06-11 |
| 1467832410 | Sara Supinski LLC | Clinic/Center | 1911 Main Ave, Suite 240, Durango, CO 81301 | 2015-06-04 |
| 1356735146 | Margaret Austin | Massage Therapist | 1309 E 3rd Avenue, Durango, CO 81301 | 2015-03-19 |
| 1891112280 | Lisa Ann Proulx | Health Educator | 3 Springs Blvd.. Suite 201, Durango, CO 81301 | 2014-03-24 |
| Find all providers in zip 81301 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134159106 | Sara Jane Pieper | Obstetrics & Gynecology | 361 S Camino Del Rio # 142, Durango, CO 81303-7997 | 2006-07-04 |
| 1154374254 | Peter W. Tinsman | Obstetrics & Gynecology | 18401 Meadow View Dr, Durango, IA 52039-9453 | 2006-05-18 |
| 1902442338 | Planned Parenthood of The Rocky Mountains | Obstetrics & Gynecology | 46 Suttle St, Durango, CO 81303-7947 | 2019-11-20 |
| 1245470921 | Marisa Brianne Todd | Obstetrics & Gynecology | 1 Mercado St Ste 105, Durango, CO 81301-7311 | 2009-02-20 |
| 1881854545 | Jennifer Marie Berarducci | Obstetrics & Gynecology | 1 Mercado St Ste 105, Durango, CO 81301-7311 | 2008-06-16 |
| 1730270091 | Megan Michelle Palmer | Obstetrics & Gynecology | 1 Mercado St Ste 105, Durango, CO 81301-7311 | 2006-09-28 |
| 1457462269 | Kimberly Priebe | Obstetrics & Gynecology | 1 Mercado Street, Suite 105, Durango, CO 81301-7311 | 2006-08-31 |
| 1245340330 | James Irish | Obstetrics & Gynecology | 1199 Main Ave, Suite 218, Durango, CO 81301 | 2006-08-30 |
| 1265448989 | Richard Grossman | Obstetrics & Gynecology | 1 Mercado St, Suite 105, Durango, CO 81301-7300 | 2006-08-01 |
| 1568489920 | Mareca Denali Pallister | Obstetrics & Gynecology | 1 Mercado St Ste 105, Durango, CO 81301-7311 | 2006-07-15 |
| Find all providers in DURANGO | ||||
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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.