WILLIAM HOWARD FREDERICKS (NPI# 1720423643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720423643 |
Entity Type | Individual |
Full Name | WILLIAM HOWARD FREDERICKS |
Credential | DO |
Practice Address |
1700 University Ave W Fl 6 Saint Paul MN 55104 |
Mailing Address |
1690 University Ave W Ste 370 Saint Paul MN 55104-3723 |
Practice Telephone | 6512325321 |
Mailing Telephone | 6512325321 |
Enumeration Date | 2013-05-06 |
Last Update Date | 2018-06-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
58337 | MN | Allopathic & Osteopathic Physicians |
N | 208100000X | Physical Medicine & Rehabilitation | 58337 | MN | Allopathic & Osteopathic Physicians |
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
58337 | MN | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
200 First Street Sw, Rochester, MN 55905 | 5072845000 |
Street Address |
1700 UNIVERSITY AVE W FL 6 |
City | SAINT PAUL |
State | MN |
Zip Code | 55104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164498739 | Alain F Broccard | Internal Medicine | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2006-02-24 |
1912497041 | Pamela Jenness Freske | Psychologist | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2018-05-15 |
1376059188 | Meghan Kerry Dunnigan | Nurse Practitioner | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2017-12-17 |
1699209643 | Jennifer Leafblad | Social Worker | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2017-04-17 |
1033641758 | Megan Lifto | Clinical Nurse Specialist | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2017-03-31 |
1841737814 | Alyssa Edwards | Registered Nurse | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2017-01-27 |
1811434038 | Sarah Marie Olson | Clinical Neuropsychologist | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2017-01-25 |
1801346093 | Caroline Kuria | Nurse Practitioner | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2016-10-11 |
1902294358 | Dana Alexandra Peterson | Nurse Practitioner | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2015-01-07 |
1225426174 | Hayley Maxwell | Counselor | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2014-12-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
Find all providers in zip 55104 |
Taxonomy Code | 208VP0014X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Interventional Pain Medicine |
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265788459 | Minnesota Spine Associates | Pain Medicine | 333 Washington Ave N Ste 300, Minneapolis, MN 55401-1353 | 2012-07-25 |
1730472218 | Twin Cities Pain Management, Pllc | Pain Medicine | 4444 W 76th St Ste 500, Edina, MN 55435-5177 | 2011-05-17 |
1528350048 | Lon Lutz,md Pa | Pain Medicine | 548 Foxwood Ln, Mendota Hts, MN 55118-2808 | 2011-05-03 |
1659506996 | Andrew Lee Schakel | Pain Medicine | 401 Phalen Blvd-ms 41104c, Healthpartners Specialty Center 401, St. Paul, MN 55130-5302 | 2009-05-15 |
1477569606 | Thomas Christopher Kowalkowski | Pain Medicine | 2301 Connecticut Avenue South, Sartell, MN 56377-2474 | 2006-07-31 |
1275560476 | Lee Michael Espeland | Pain Medicine | 1700 University Ave, St Paul, MN 55104 | 2006-06-26 |
1679513923 | Samir M Elghor | Pain Medicine | 166 19th St South, #101, Sartell, MN 56377-2154 | 2006-06-07 |
1952352221 | Lon Lutz | Pain Medicine | 7200 Hudson Blvd N, Ste 135, Oakdale, MN 55128-7055 | 2006-05-12 |
1265051627 | Saeger Spine and Pain Clinics Pa | Pain Medicine | 7450 France Ave S Ste 240, Edina, MN 55435-4792 | 2020-04-15 |
1982062550 | St. Luke's Hospital of Duluth | Pain Medicine | 1012 E 2nd St, Duluth, MN 55805-2200 | 2016-02-10 |
Find all providers with the same taxonomy |
City | SAINT PAUL |
Zip Code | 55104 |
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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.