DEMERICK C FRADL (NPI# 1639634280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639634280 |
Entity Type | Individual |
Full Name | DEMERICK C FRADL |
Credential | MD |
Practice Address |
1491 County Road 237 Silt CO 81652-8794 |
Practice Telephone | 7204808777 |
Mailing Telephone | 7204808777 |
Enumeration Date | 2019-02-07 |
Last Update Date | 2019-02-07 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 21703 | CO | Allopathic & Osteopathic Physicians |
Street Address |
1491 COUNTY ROAD 237 |
City | SILT |
State | CO |
Zip Code | 81652-8794 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063852796 | Aerocare Holdings, Inc. | Durable Medical Equipment & Medical Supplies | 1818 Medicine Bow Ct, Ste 2, Silt, CO 81652 | 2013-06-26 |
1942435839 | Bruce Clinton Brunson | Neurological Surgery | 0506 Chair Bar Road, Silt, CO 81652 | 2009-05-20 |
1194818807 | Silt Imaging Center, LLC | Specialist | 2001 Horseshoe Trail, Silt, CO 81652 | 2006-10-02 |
1699261339 | Valley View Hospital Association | Family Medicine | 2001 N Horseshoe Trl, Silt, CO 81652 | 2018-07-05 |
1902034820 | Burning Mountains Fire Protection District | Ambulance | 611 Main, Silt, CO 81652 | 2009-06-30 |
1659378099 | Town of Silt | Ambulance | 231 N 7th St, Silt, CO 81652-0070 | 2005-06-30 |
1902135866 | Breath of Life LLC | Durable Medical Equipment & Medical Supplies | 2303 Branding Iron, Silt, CO 81652-8833 | 2009-12-23 |
1043721756 | Deborah Ghan | Speech-Language Pathologist | 4773 County Road 214, Silt, CO 81652-9513 | 2017-10-20 |
1215312681 | Drkentjalbrechtdc | Chiropractor | 2103 S Horseshoe Trail, Silt, CO 81652-9739 | 2015-07-27 |
1760955496 | Mountain Valley Developmental Services | Day Training, Developmentally Disabled Services | 580 Home Ave, Silt, CO 81652-9805 | 2019-01-04 |
Find all providers in zip 81652 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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1932728706 | Poudre Valley Medical Group, LLC | General Practice | 256 W Mountain Ave, Fort Collins, CO 80521-2711 | 2020-04-13 |
1023637915 | Poudre Valley Medical Group, LLC | General Practice | 1041 Woodward Way, Fort Collins, CO 80524-3468 | 2020-04-11 |
1710516950 | Poudre Valley Medical Group, LLC | General Practice | 4380 Ziegler Rd, Fort Collins, CO 80525-9631 | 2020-04-08 |
1689208035 | Balance Wellspace LLC | General Practice | 125 Rampart Way Ste 300, Denver, CO 80230-6429 | 2020-02-25 |
1215584321 | Belleview Spince and Wellnces Cos LLC | General Practice | 1257 Lake Plaza Dr Ste 105, Colorado Springs, CO 80906-7300 | 2019-08-22 |
1497307771 | Pamela Raring Mclaughlin | General Practice | 2275 Homestead Dr, Grand Junction, CO 81505-8306 | 2019-07-16 |
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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.