DAVID FREDERICKA (NPI# 1578606893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578606893 |
| Entity Type | Individual |
| Full Name | DAVID FREDERICKA |
| Credential | MD |
| Practice Address |
1753 E Market St Suite 1 Warren OH 44483-6672 |
| Practice Telephone | 3303736903 |
| Practice Fax Number | 3303991055 |
| Mailing Telephone | 3303736903 |
| Mailing Fax Number | 3303991055 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
35040244 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0411987 | 05 |
| Street Address |
1753 E MARKET ST SUITE 1 |
| City | WARREN |
| State | OH |
| Zip Code | 44483-6672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326032590 | Cardiac Management Inc | Internal Medicine | 1753 E Market St, Suite 1, Warren, OH 44483-6672 | 2005-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417572850 | Kimberly Lee Slater | Peer Specialist | 709 Mahoning Ave Nw, Warren, OH 44483 | 2020-06-11 |
| 1083239792 | Krutarth Kandarp Pandya | Student in an Organized Health Care Education/Training Program | 1350 East Market Street 7th Floor, Warren, OH 44483 | 2020-06-09 |
| 1902435738 | Peter Alexander Iskander | Student in an Organized Health Care Education/Training Program | 1350 E Market Street, 7th Floor, Warren, OH 44483 | 2020-04-03 |
| 1093344822 | Matthew Jacob | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, 7th Floor, Warren, OH 44483 | 2020-04-03 |
| 1306309638 | Sameer Raj Joshi | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, Warren, OH 44483 | 2019-04-12 |
| 1336619964 | Alexis Valentino | Nurse Practitioner | 247 Oak Knoll Se, Warren, OH 44483 | 2018-11-27 |
| 1538656921 | Biswaraj Tharu | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, Trumbull Regional Medical Cent, Warren, OH 44483 | 2018-04-20 |
| 1790216448 | Jeannie Gurich | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Rd. Se, Warren, OH 44483 | 2017-03-24 |
| 1205388634 | Laurie L Horvath | Midwife | 1651 E Market, Warren, OH 44483 | 2016-11-02 |
| 1235586264 | Travis Robert Dickey | Physical Therapist | 4329 Mahoning Ave. Nw, Warren, OH 44483 | 2016-05-19 |
| Find all providers in zip 44483 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1184893471 | Vijay B Behari Md Inc | Internal Medicine | 1700 East Market St, Suite 101, Warren, OH 44483-6625 | 2008-02-21 |
| 1417936238 | Larry A Woods | Internal Medicine | 9375 E Market St Ste 3, Warren, OH 44484-5552 | 2006-01-11 |
| 1487636684 | Inderjit Aggarwal | Internal Medicine | 29610 Ryan Rd, Warren, MI 48092-4247 | 2005-11-15 |
| 1528058773 | Theodore L Schreiber | Internal Medicine | 8545 Common Road, Ste 150, Warren, MI 48093 | 2005-10-27 |
| 1144219684 | Robert K Moore | Internal Medicine | 28341 Hoover Rd, Warren, MI 48093-4151 | 2005-10-18 |
| 1326032590 | Cardiac Management Inc | Internal Medicine | 1753 E Market St, Suite 1, Warren, OH 44483-6672 | 2005-09-02 |
| 1558363119 | Kyung Soo Kim | Internal Medicine | 14049 E 13 Mile Rd Ste 1, Warren, MI 48088-5876 | 2005-08-12 |
| 1093296592 | Pioneer Medical Associates P.C. | Internal Medicine | 27560 Hoover Rd, Warren, MI 48093 | 2018-08-23 |
| 1194031682 | Robert K Moore Md PC | Internal Medicine | 28341 Hoover Rd, Warren, MI 48093-4151 | 2010-08-23 |
| 1376797217 | Oakland Medical Group PC | Internal Medicine | 11900 E 12 Mile Rd, Suite 300, Warren, MI 48093-3400 | 2008-11-05 |
| Find all providers in WARREN | ||||
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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.