DR. FREDERICK IVAN ENDE (NPI# 1497855373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497855373 |
| Entity Type | Individual |
| Full Name | DR. FREDERICK IVAN ENDE |
| Credential | M.D. |
| Practice Address |
121 S Market St Petersburg VA 23803-4217 |
| Practice Telephone | 8047338771 |
| Practice Fax Number | 8047331017 |
| Mailing Telephone | 8047338771 |
| Mailing Fax Number | 8047331017 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2010-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | BC83897 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 005861861 | 05 | |
| VA | ANTHEM BLUE CROSS | 250896 | 01 |
| Street Address |
121 S MARKET ST |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23803-4217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437636503 | Stefanie Lea Eads | Nurse Practitioner | 121 S Market St, Petersburg, VA 23803-4217 | 2018-07-23 |
| 1710007430 | Ende Medical Practice, LLP | Internal Medicine | 121 S Market St, Petersburg, VA 23803-4217 | 2007-03-29 |
| 1528152824 | Mark Ende | Internal Medicine | 121 S Market St, Petersburg, VA 23803-4217 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619523719 | Wise Journey Ltd | Home Health | 325-b Brown Street Suite 132, Petersburg, VA 23803 | 2019-08-14 |
| 1386101699 | Marliqua Barnes | Driver | 601 Carter St, Petersburg, VA 23803 | 2019-02-22 |
| 1356596571 | Quality Healthcare Inc | Community/Behavioral Health | 6111 Duncan Rd, Ste F, Petersburg, VA 23803 | 2008-12-02 |
| 1861614943 | Peoples Family Dental Care | Dentist | 1328 W Washington St, Petersburg, VA 23803 | 2007-05-02 |
| 1841333721 | Family Preservation Services, Inc | Community/Behavioral Health | 1000 Patterson Ave, Petersburg, VA 23803 | 2007-02-14 |
| 1154473155 | Progressive Adult Rehabilitation Center, Inc. | Day Training, Developmentally Disabled Services | 114 North Union Street, Suite B, Petersburg, VA 23803 | 2007-01-18 |
| 1861556615 | Evelyn V. Whitehead | Counselor | 115 E Wythe St, Petersburg, VA 23803 | 2006-12-19 |
| 1538248778 | Raymond Gibson Smith Jr. | Dentist | Seventh Avenue, Hiram Davis Medical Center, Petersburg, VA 23803 | 2006-11-06 |
| 1396842282 | Eugene Arthur Richardson IIi | Dentist | 23 Shore Street, Petersburg, VA 23803 | 2006-09-20 |
| 1679594030 | Olumuyiwa Akinniyi Ojediran | Internal Medicine | 734 South Sycamore Street, Petersburg, VA 23803 | 2006-07-21 |
| Find all providers in zip 23803 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932582541 | Valeria Edda Madrid Malo Bohorquez | Internal Medicine | 50 Medical Park Blvd Ste C, Petersburg, VA 23805 | 2015-06-30 |
| 1669715116 | Sean Ryan Murney | Internal Medicine | 261 Medical Park Blvd, Petersburg, VA 23805-9337 | 2013-04-03 |
| 1538328844 | Nishanth Sukumaran | Internal Medicine | 210 Medical Park Blvd, Suite 200, Petersburg, VA 23805-9338 | 2008-06-03 |
| 1033308069 | Physician Associates Ltd | Internal Medicine | 531 S Sycamore St, Petersburg, VA 23803-5039 | 2007-10-16 |
| 1457455958 | Bruce W Leslie | Internal Medicine | Grant Memorial Drive, Pidc Building - Suite 102, Petersburg, WV 26847-1716 | 2006-09-13 |
| 1447354956 | Stephen Craig Thompson | Internal Medicine | 65 Hospital Dr Ste 102, Petersburg, WV 26847-9549 | 2006-09-13 |
| 1679594030 | Olumuyiwa Akinniyi Ojediran | Internal Medicine | 734 South Sycamore Street, Petersburg, VA 23803 | 2006-07-21 |
| 1861460057 | John Talmadge Marshall | Internal Medicine | 700 S Sycamore St, Suite 4, Petersburg, VA 23803-5802 | 2006-03-14 |
| 1679546923 | Kadarnath Shammie Boodram | Internal Medicine | 601 Old Wagner Road, Suite 103, Petersburg, VA 23805-9313 | 2006-02-08 |
| 1346220480 | Harindran Theruvath | Internal Medicine | 26317 West Washington St.ext., Petersburg, VA 23803-0030 | 2006-01-17 |
| Find all providers in PETERSBURG | ||||
| City | PETERSBURG |
| Zip Code | 23803 |
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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.