DR. TODD LEE FRIDLEY (NPI# 1396040739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396040739 |
| Entity Type | Individual |
| Full Name | DR. TODD LEE FRIDLEY |
| Credential | D.O. |
| Practice Address |
1501 Tate Blvd Se Ste 202 Hickory NC 28602-1385 |
| Practice Telephone | 8284852707 |
| Practice Fax Number | 8284852708 |
| Mailing Telephone | 8284852707 |
| Mailing Fax Number | 8284852708 |
| Enumeration Date | 2011-01-16 |
| Last Update Date | 2020-04-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 2019-02053 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
1501 TATE BLVD SE STE 202 |
| City | HICKORY |
| State | NC |
| Zip Code | 28602-1385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063983286 | Ivan Ortega | Health Educator | 810 Fairgrove Church Road Se, Hickory, NC 28602 | 2018-12-16 |
| 1578078895 | Zachary Chad Greer | Physician Assistant | 1927 3rd Ave Ln Se, Hickory, NC 28602 | 2017-12-08 |
| 1952842015 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2264 Us Highway 70 Se, Hickory, NC 28602 | 2017-03-09 |
| 1013456318 | Juanita Brown | Counselor | 306 4th St Sw, Hickory, NC 28602 | 2017-02-20 |
| 1639616725 | Francisca Blanco | Clinic/Center | 5276 0lde School Dr, Hickory, NC 28602 | 2017-01-26 |
| 1982155263 | Livanta Medical Center | Physician Assistant | 2105 Catawba Valley Blvd Se, Hickory, NC 28602 | 2016-10-20 |
| 1225588817 | Melike Demirozu | Social Worker | 738 4th St. Sw, Hickory, NC 28602 | 2016-10-07 |
| 1528411592 | April Prout | Social Worker | 1053 13th St Se, Hickory, NC 28602 | 2016-07-14 |
| 1457706921 | Maitry Parikh | Dentist | 2535 Us Highway 70 Se Ste 112, Hickory, NC 28602 | 2016-05-03 |
| 1245614510 | Doran Stilwell | Physical Therapy Assistant | 4161 South Fork Avenue, Hickory, NC 28602 | 2015-07-16 |
| Find all providers in zip 28602 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497092803 | Hugo Leroy Deaton | Surgery | 910 18th Avenue Dr Nw, Hickory, NC 28601-1262 | 2013-01-07 |
| 1386640514 | Bryan Andrew Mccluer | Surgery | 1501 Tate Blvd Se, Suite 202, Hickory, NC 28602-4243 | 2005-06-22 |
| 1144686437 | Dlp Central Carolina Physician Practices LLC | Surgery | 915 Tate Blvd Se, Ste 186, Hickory, NC 28602-4042 | 2016-01-03 |
| 1588003032 | Catawba Valley Medical Group, Inc | Surgery | 1771 Tate Blvd Se, Suite 204, Hickory, NC 28602-4249 | 2013-06-18 |
| 1669815239 | Gener S Augustin | Surgery | 1771 Tate Blvd Se Ste 204, Hickory, NC 28602 | 2013-04-12 |
| 1013295195 | Baker Henson | Surgery | 415 N Center St, Suite 102, Hickory, NC 28601-5057 | 2011-07-24 |
| 1346408101 | Lindsay Marie Bools | Surgery | 1899 Tate Blvd Se, Hickory, NC 28602-4200 | 2008-05-29 |
| 1760666481 | E Gary Mcdougal, Md, Pllc | Surgery | 1899 Tate Blvd Se, Suite 2106, Hickory, NC 28602-4200 | 2007-12-18 |
| 1386858165 | Jonathan Andrew Hata | Surgery | 415 N Center St, Suite 102, Hickory, NC 28601-5036 | 2007-05-10 |
| 1083667364 | Unifour Surgical Assoicates, Pa | Surgery | 1771 Tate Blvd Se, Suite 101, Hickory, NC 28602-4250 | 2006-05-18 |
| Find all providers in HICKORY | ||||
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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.