DR. FREDERICKA CREECH LOCKETT (NPI# 1598714065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598714065 |
| Entity Type | Individual |
| Full Name | DR. FREDERICKA CREECH LOCKETT |
| Credential | MD |
| Practice Address |
107 Perry St Bloomfield KY 40008 |
| Mailing Address |
Po Box 400 Bloomfield KY 40008 |
| Practice Telephone | 5022525081 |
| Practice Fax Number | 5022527211 |
| Mailing Telephone | 5022525081 |
| Mailing Fax Number | 5022527211 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2012-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 19893 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PASSPORT | 1049285 | 01 | |
| RAILROAD MEDICARE | 080025519 | 01 | |
| HUMANA | 610963741B | 01 | |
| ANTHEM | 000000047086 | 01 | |
| PASSPORT | 243244900 | 01 | |
| KY | 64198930 | 05 |
| Street Address |
107 PERRY ST |
| City | BLOOMFIELD |
| State | KY |
| Zip Code | 40008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235295296 | Robert D. Hendren & Fredericka C. Lockett Ptr | Family Medicine | 107 Perry St, Bloomfield, KY 40008 | 2006-12-27 |
| 1346261013 | Jessica B Ice | Physician Assistant | 107 Perry St, Bloomfield, KY 40008 | 2006-07-21 |
| 1942259445 | Robert Dawson Hendren | Family Medicine | 107 Perry St, Bloomfield, KY 40008 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720130024 | Lori A Haines | Dentist | 112 Fairfield Hill, Bloomfield, KY 40008 | 2007-01-17 |
| 1821090341 | Snider Drugs Inc | Durable Medical Equipment & Medical Supplies | 101 Taylorsville Rd, Bloomfield, KY 40008 | 2005-08-15 |
| 1265752638 | Sara R Rogers | Dentist | 112 Fairfield Hill Road, Bloomfield, KY 40008-0484 | 2010-06-08 |
| 1215910906 | John Y. Barbee Jr. | Neuromusculoskeletal Medicine & OMM | 7520 Highgrove Road, Bloomfield, KY 40008-0507 | 2005-11-28 |
| 1952712465 | Claywell, Inc | Pharmacy | 114 Fairfield Hl, Bloomfield, KY 40008-6127 | 2014-05-19 |
| 1215345186 | Ashley Calvert | Pharmacist | 114 Fairfield Hl, Bloomfield, KY 40008-6127 | 2014-07-23 |
| 1689050916 | Victoria's Dream, LLC | Residential Treatment Facility, Physical Disabilities | 8345 Bloomfield Rd, Bloomfield, KY 40008-7000 | 2015-08-10 |
| 1851821086 | Amber Nicole Osborne | Social Worker | 7775 Plum Run Rd, Bloomfield, KY 40008-7012 | 2017-06-20 |
| 1164076832 | Light The Way Pediatric Therapy Services, LLC | Speech-Language Pathologist | 130 Chester Hahn Rd, Bloomfield, KY 40008-7014 | 2019-07-30 |
| 1790246650 | Jonathan Lee Cornell | Counselor | 262 Chaplin Rd, Bloomfield, KY 40008-7125 | 2019-03-25 |
| Find all providers in zip 40008 | ||||
| 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 |
|---|---|---|---|---|
| 1588264659 | Urgent Care Center of Bloomfield Pllc | Internal Medicine | 699 Cottage Grove Rd, Bloomfield, CT 06002-3059 | 2020-10-28 |
| 1023524550 | Cp Primary Care PC | Internal Medicine | 206 Belleville Ave Ste 204a, Bloomfield, NJ 07003-3589 | 2017-12-20 |
| 1801307871 | Nidhi Shishu | Internal Medicine | 4521 River Trl, Bloomfield, MI 48301-3642 | 2017-10-18 |
| 1669995247 | Oksana Kloyzner,md LLC | Internal Medicine | 701 Cottage Grove Rd Ste F, Bloomfield, CT 06002-3080 | 2017-07-25 |
| 1710431291 | Clark Medical Service LLC | Internal Medicine | 135 Bloomfield Ave Ste F, Bloomfield, NJ 07003-5902 | 2016-08-12 |
| 1861806721 | Arhin Internal Medicine Clinic LLC | Internal Medicine | 35 Jolley Dr # 201, Bloomfield, CT 06002-3062 | 2014-06-18 |
| 1013276062 | Esira Jaimie Beaubrun | Internal Medicine | 323 Belleville Ave Fl 2, Bloomfield, NJ 07003-3648 | 2012-05-11 |
| 1801178389 | Robert Jay Dobrow | Internal Medicine | 15 Cherry Hills Cir, Bloomfield, CT 06002-2919 | 2011-09-12 |
| 1285952960 | Leandro Lencina | Internal Medicine | 85 E Passaic Ave, Bloomfield, NJ 07003-3752 | 2010-05-05 |
| 1336314475 | Roy A. Kellerman, Md, LLC | Internal Medicine | 701 Cottage Grove Rd Ste A110, Bloomfield, CT 06002-3082 | 2008-04-29 |
| Find all providers in BLOOMFIELD | ||||
| City | BLOOMFIELD |
| Zip Code | 40008 |
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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.