JOHN W FREDERICK (NPI# 1578546610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578546610 |
| Entity Type | Individual |
| Full Name | JOHN W FREDERICK |
| Credential | MD |
| Practice Address |
6835 Austin Center Blvd Austin TX 78731-3166 |
| Mailing Address |
4515 Seton Center Pkwy Suite 215 - Credentialing Austin TX 78759-5290 |
| Practice Telephone | 5123466611 |
| Practice Fax Number | 5124067315 |
| Mailing Telephone | 5122315507 |
| Mailing Fax Number | 5124066216 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2017-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | H0359 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | FIRSTCARE | 113019102 | 01 |
| TX | 138882920 | 05 | |
| TX | 138882919 | 05 | |
| TX | BCBS | 83013K | 01 |
| TX | SCOTT & WHITE | 98085 | 01 |
| TX | 138882909 | 05 | |
| TX | 138882904 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275976953 | John William Frederick | Student in an Organized Health Care Education/Training Program | 4168 Highlands Cir, Birmingham, AL 35213-2800 | 2013-04-11 |
| 1790828911 | John Thomas Frederick | Psychiatry & Neurology | 1200 5th Ave Ste 2010, Seattle, WA 98101-3100 | 2007-02-15 |
| 1285022400 | John Frederick Jr. | Counselor | 2100 Comer Ave, Columbus, GA 31904-8725 | 2014-12-23 |
| 1598027153 | John Frederick | Internal Medicine | 24 Joliet St Ste 101, Dyer, IN 46311 | 2012-06-11 |
| 1073890851 | John M Frederick | Pharmacist | 206 Crossings Ln, Mount Juliet, TN 37122-8547 | 2011-11-08 |
| 1932303815 | John Thomas Frederick | Surgery | 630 13th St, Suite 250, Augusta, GA 30901-1015 | 2007-06-13 |
| 1841347937 | John Frederick | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1001 Blythe Blvd, Ste 300- Adult Cardiology, Charlotte, NC 28203-5866 | 2007-01-04 |
| 1265469332 | John J Frederick | Radiology | 3346 Lennon Rd, Suite 2, Flint, MI 48507-1082 | 2006-06-26 |
| 1043297492 | John Charles Frederick | Ophthalmology | 777 Tanglefoot Ln, Eye Surgeons Associates PC, Bettendorf, IA 52722 | 2005-12-28 |
| 1669453213 | John Randall Frederick | Surgery | 1650 Huntingdon Pike, Suite 154, Meadowbrook, PA 19046-8004 | 2005-11-10 |
| Street Address |
6835 AUSTIN CENTER BLVD |
| City | AUSTIN |
| State | TX |
| Zip Code | 78731-3166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083614523 | Thomas S Mchorse | Internal Medicine | 6835 Austin Center Blvd, Austin, TX 78731-3166 | 2005-07-27 |
| 1275194698 | Laura Melissa Sepulveda-stoll | Dietitian, Registered | 6835 Austin Center Blvd, Austin, TX 78731-3189 | 2019-06-26 |
| 1265896096 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 6835 Austin Center Blvd, Austin, TX 78731-3166 | 2016-04-07 |
| 1023470689 | Shauntavia Ward | Nurse Practitioner | 6835 Austin Center Blvd, Austin, TX 78731-3166 | 2016-03-23 |
| 1104282920 | Courtney Helman Supon | Nurse Practitioner | 6835 Austin Center Blvd, Austin, TX 78731-3166 | 2016-01-08 |
| 1437530466 | Jenelyn Ramos | Family Medicine | 6835 Austin Center Blvd, Austin, TX 78731-3166 | 2015-06-16 |
| 1588079958 | Barbara Michelle Kiersz Mueller | Family Medicine | 6835 Austin Center Blvd, Austin, TX 78731-3166 | 2014-06-24 |
| 1528406527 | Molly Maxine Diaz Kane | Pediatrics | 6835 Austin Center Blvd, Austin, TX 78731-3166 | 2013-06-12 |
| 1356606917 | Bruce Michael Doxey | Family Medicine | 6835 Austin Center Blvd, Austin, TX 78731-3166 | 2012-07-10 |
| 1285909739 | Margaret Hemmen | Nurse Practitioner | 6835 Austin Center Blvd, Austin, TX 78731-3166 | 2012-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710892 | Anew Era Tms & Psychiatry of Texas, Pa | Psychiatry & Neurology | 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 | 2020-11-06 |
| 1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
| 1437772373 | Sharon Polackal | Student in an Organized Health Care Education/Training Program | Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 | 2020-05-27 |
| 1699309773 | Modern Vision Group, Pllc | Optometrist | 3908 Far W Blvd, Austin, TX 78731 | 2020-02-27 |
| 1235699562 | Catherine Kerrigan | Social Worker | 7514 N Mopac Expy, Suite 100, Austin, TX 78731 | 2019-03-22 |
| 1912474651 | Austin Dental Spa, Pllc | Dentist | 3305 Northland Ste 515, Austin, TX 78731 | 2018-10-31 |
| 1982110938 | Lindsey Sheppard | Dietitian, Registered | 7000 N Mopac Expy, Suite 200, Austin, TX 78731 | 2017-12-28 |
| 1144746066 | Sarah Cotton | Occupational Therapist | 3520 Executive Center Drive, Suite 128, Austin, TX 78731 | 2017-08-22 |
| 1699299792 | Avoia Mia Tapia | Physical Therapist | 3721 Executive Center Drive, Suite 201, Austin, TX 78731 | 2017-07-31 |
| 1265889745 | Home Focus Aba | Behavioral Analyst | 6804 Capital of Tx Hwy N 412, Austin, TX 78731 | 2016-05-16 |
| Find all providers in zip 78731 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437662 | Angela Ekern | Family Medicine | 7421 Cordoba Dr, Austin, TX 78724-6252 | 2020-11-03 |
| 1245847011 | Diane Brewer | Family Medicine | 309 Shant St, Austin, TX 78748-1612 | 2020-09-25 |
| 1568075265 | Agno Health, LLP | Family Medicine | 2506 South Lamar Blvd, Unit 2, Austin, TX 78704-4731 | 2020-08-24 |
| 1245853514 | Kaitlin Claire Negandhi Valentine | Family Medicine | 1400 N Ih 35 Ste C2.410, Austin, TX 78701-1926 | 2020-05-21 |
| 1548899248 | Candice Bethke Escobedo | Family Medicine | 12020 Pepperidge Dr, Austin, TX 78739-1948 | 2020-04-04 |
| 1184257123 | Aegis Health Services LLC | Family Medicine | 3005 S Lamar Blvd Ste D109-245, Austin, TX 78704-8864 | 2020-02-18 |
| 1285274100 | Mw Wellness Iv, LLC | Family Medicine | 13359 N Highway 183 Ste 403, Austin, TX 78750-7154 | 2020-01-08 |
| 1578112207 | Heather Lenz | Family Medicine | 6633 E Highway 290 Ste 300, Austin, TX 78723-1158 | 2019-09-05 |
| 1245887355 | Jonathan Thomas Mason | Family Medicine | 1400 N-ih 35, Dell Seton Medical Center, Ste C2.410, Austin, TX 78701 | 2019-08-22 |
| 1609421247 | Maycare, Pllc | Family Medicine | 6911 Ranch Road 620 N Ste A-300, Austin, TX 78732-1920 | 2019-08-08 |
| Find all providers in AUSTIN | ||||
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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.