WILLIAM HOWARD FREDERICKS


Address: 1700 University Ave W Fl 6, Saint Paul, MN 55104
Phone: 6512325321

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
200 First Street Sw, Rochester, MN 55905 5072845000

Office Location

Street Address 1700 UNIVERSITY AVE W FL 6
City SAINT PAUL
State MN
Zip Code 55104

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and state

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
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Competitor

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City SAINT PAUL
Zip Code 55104

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Dataset Information

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.

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