DR. CAMILLA JUNE FREDERICK (NPI# 1457324865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457324865 |
| Entity Type | Individual |
| Full Name | DR. CAMILLA JUNE FREDERICK |
| Credential | M.D. |
| Practice Address |
1820 W 3rd St Davenport IA 52802-1812 |
| Practice Telephone | 5633222103 |
| Practice Fax Number | 5633222117 |
| Mailing Telephone | 5633222103 |
| Mailing Fax Number | 5633222117 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
26137 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
1820 W 3RD ST |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52802-1812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356347793 | Margaret E Newkirk | Nurse Practitioner | 1820 W 3rd St, Davenport, IA 52802-1812 | 2005-06-21 |
| 1750876751 | Meghan Lynne Grothus | Nurse Practitioner | 1820 W 3rd St, Davenport, IA 52802-1812 | 2018-06-22 |
| 1104336924 | Kelsey Lynn Barger | Physician Assistant | 1820 W 3rd St, Davenport, IA 52802-1812 | 2017-10-06 |
| 1942721584 | Shawna Brit Fury | Nurse Practitioner | 1820 W 3rd St, Davenport, IA 52802-1812 | 2017-07-05 |
| 1528434065 | Quad City Occupational Health | Clinic/Center | 1820 W 3rd St, Davenport, IA 52802-1812 | 2015-08-19 |
| 1518355353 | Stephanie Dittmer | Physical Therapy Assistant | 1820 W 3rd St, Davenport, IA 52802-1812 | 2015-01-01 |
| 1306259767 | Koel Joseph Brooks | Physical Therapist | 1820 W 3rd St, Davenport, IA 52802-1812 | 2014-06-03 |
| 1568899649 | Braaten Health Outpatient Services | Clinic/Center | 1820 W 3rd St, Davenport, IA 52802-1812 | 2013-10-03 |
| 1124454947 | Genesis Health System | Family Medicine | 1820 W 3rd St, Davenport, IA 52802-1812 | 2013-09-25 |
| 1538509443 | Regan A Cone | Family Medicine | 1820 W 3rd St, Davenport, IA 52802-1812 | 2013-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962042465 | William Albert Childers Jr. | Technician | 1455 W. 8th St., Davenport, IA 52802 | 2020-01-13 |
| 1790293181 | Amy Ruth Allison | Counselor | 1523 S. Fairmount St., Davenport, IA 52802 | 2018-01-19 |
| 1245236942 | Center for Alchol & Drug Services, Inc. | Clinic/Center | 1523 S Fairmount St, Davenport, IA 52802 | 2005-06-27 |
| 1043467269 | Cindy May Hannon | General Acute Care Hospital | 1848 W 7th St, Davenport, IA 52802-1029 | 2008-08-19 |
| 1205063096 | Ryan Bobst | Student in an Organized Health Care Education/Training Program | 1229 W 8th St, Davenport, IA 52802-1331 | 2009-06-18 |
| 1902033673 | Angela C Wells | Social Worker | 1229 W 8th St, Davenport, IA 52802-1331 | 2009-06-19 |
| 1891922563 | Christy A Carter | Social Worker | 1229 W 8th St, Davenport, IA 52802-1331 | 2009-06-19 |
| 1548892359 | Annemarie Irene Chambliss | Counselor | 1202 W 3rd St, Davenport, IA 52802-1344 | 2020-02-10 |
| 1457909103 | Margaret Olin Meloy | Social Worker | 1202 W 3rd St, Davenport, IA 52802-1344 | 2019-08-27 |
| 1629544929 | Rebecca Schroeder | Behavior Technician | 1202 W 3rd St, Davenport, IA 52802-1344 | 2018-10-15 |
| Find all providers in zip 52802 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679535264 | Rick Lee Garrels | Preventive Medicine | 3319 Spring St, Suite 103, Davenport, IA 52807-2125 | 2006-04-06 |
| 1720040835 | Geeta Mahadevia | Preventive Medicine | 3319 Spring St, Suite 103, Davenport, IA 52807-2125 | 2006-04-04 |
| 1396719423 | Quad City Occupational Health | Preventive Medicine | 1820 W 3rd St, Davenport, IA 52802-1812 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699976936 | Ram Prasad Ravi | Preventive Medicine | 100 Oakdale Campus #158 Ireh, Iowa City, IA 52242-5000 | 2007-05-31 |
| 1578686341 | St Lukes Methodist Hospital | Preventive Medicine | 830 First Ave Ne, St Lukes Work Well Solutions, Cedar Rapids, IA 52406-3026 | 2007-04-09 |
| 1891817748 | Andrew E Schaeckenbach | Preventive Medicine | 540 E Jefferson St Ste 205, Iowa City, IA 52245 | 2007-04-04 |
| 1639210388 | John David Kuhnlein | Preventive Medicine | 1605 Se Delaware Ave Ste D, Ankeny, IA 50021-4595 | 2007-02-08 |
| 1699824623 | Peter G Matos | Preventive Medicine | 2400 Lillian Drive, Clinton, IA 52732-5067 | 2007-01-09 |
| 1750473062 | Richard S. Mccaughey | Preventive Medicine | 1301 Pennsylvania Ave Ste 416, Des Moines, IA 50316-2367 | 2006-09-28 |
| 1104817105 | Charles D. Mooney | Preventive Medicine | 1316 South Main Street, Clarion, IA 50525-2019 | 2005-10-31 |
| 1851765598 | Mercy Clinics, Inc. | Preventive Medicine | 1055 Jordan Creek Pkwy, Ste 100, West Des Moines, IA 50266-5821 | 2015-11-18 |
| 1326483637 | Marisol Elis Sepulveda | Preventive Medicine | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2013-05-01 |
| 1164784088 | Brandon Penix | Preventive Medicine | 1301 Pennsylvania Ave Ste 416, Des Moines, IA 50316-2367 | 2012-06-15 |
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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.