JOHN THOMAS FREDERICK (NPI# 1790828911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790828911 |
| Entity Type | Individual |
| Full Name | JOHN THOMAS FREDERICK |
| Credential | MD |
| Practice Address |
1200 5th Ave Ste 2010 Seattle WA 98101-3100 |
| Practice Telephone | 2067785584 |
| Mailing Telephone | 2067785584 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2018-02-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD00036632 | WA | Allopathic & Osteopathic Physicians |
| N | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
MD00036632 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | VM AETNA PCP PIN | US7536792 | 01 |
| WA | VM LABOR AND INDUSTRIES # | 0163635 | 01 |
| WA | 8286858 | 05 | |
| WA | MEDICARE - SNO CO | 8883129 | 01 |
| WA | VM RAILROAD MC # | P00444827 | 01 |
| WA | VM BLUE SHIELD # | 3015FR | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275976953 | John William Frederick | Student in an Organized Health Care Education/Training Program | 4168 Highlands Cir, Birmingham, AL 35213-2800 | 2013-04-11 |
| 1285022400 | John Frederick Jr. | Counselor | 2100 Comer Ave, Columbus, GA 31904-8725 | 2014-12-23 |
| 1598027153 | John Frederick | Internal Medicine | 24 Joliet St Ste 101, Dyer, IN 46311 | 2012-06-11 |
| 1073890851 | John M Frederick | Pharmacist | 206 Crossings Ln, Mount Juliet, TN 37122-8547 | 2011-11-08 |
| 1932303815 | John Thomas Frederick | Surgery | 630 13th St, Suite 250, Augusta, GA 30901-1015 | 2007-06-13 |
| 1841347937 | John Frederick | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1001 Blythe Blvd, Ste 300- Adult Cardiology, Charlotte, NC 28203-5866 | 2007-01-04 |
| 1265469332 | John J Frederick | Radiology | 3346 Lennon Rd, Suite 2, Flint, MI 48507-1082 | 2006-06-26 |
| 1043297492 | John Charles Frederick | Ophthalmology | 777 Tanglefoot Ln, Eye Surgeons Associates PC, Bettendorf, IA 52722 | 2005-12-28 |
| 1578546610 | John W Frederick | Family Medicine | 6835 Austin Center Blvd, Austin, TX 78731-3166 | 2005-11-22 |
| 1669453213 | John Randall Frederick | Surgery | 1650 Huntingdon Pike, Suite 154, Meadowbrook, PA 19046-8004 | 2005-11-10 |
| Street Address |
1200 5TH AVE STE 2010 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98101-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987485 | David James Sanders | Internal Medicine | 1100 Ninth Avenue: Attention David Sanders, G2-pmr, Seattle, WA 98101 | 2020-09-17 |
| 1295356483 | Yvette Marie Sampson | Peer Specialist | Josephinum C/o Crew, 1902 2nd Ave., Seattle, WA 98101 | 2020-04-29 |
| 1699313353 | Eunyoung Kim | Pharmacist | 925 Seneca Street, H3-pi, Seattle, WA 98101 | 2019-12-12 |
| 1407405657 | Maryanne Wambui Mirie | Registered Nurse | Josephinum 1902 2 Nd Ave, C/o Crew ., Seattle, WA 98101 | 2019-09-10 |
| 1437714854 | Bossakara Sokhom | Student in an Organized Health Care Education/Training Program | 925 Seneca St. Mailstop H8-gme, Seattle, WA 98101 | 2019-05-01 |
| 1841752516 | Hai Quan Ngoc Truong | Student in an Organized Health Care Education/Training Program | 925 Seneca St, H8-gme, Seattle, WA 98101 | 2019-04-02 |
| 1134689318 | Kaitlin Alyse Geck | Student in an Organized Health Care Education/Training Program | 928 Seneca St, Mail Sop: H8-gme, Seattle, WA 98101 | 2019-03-22 |
| 1659860088 | Jaime Mauricio Jimenez | Student in an Organized Health Care Education/Training Program | Virginia Mason 925 Seneca St, Mail Sop: H8-gme, Seattle, WA 98101 | 2018-05-01 |
| 1184156861 | Benjamin Perin | Student in an Organized Health Care Education/Training Program | 925 Seneca Street, H8-gme, Virginia Mason, Seattle, WA 98101 | 2017-03-31 |
| 1316478258 | John Robert Coleman | Anesthesiology | 1100 9th Ave Ms: M4-pfs, Seattle, WA 98101 | 2017-03-22 |
| Find all providers in zip 98101 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285269449 | Helpprn Pllc | Psychiatry & Neurology | 7006 40th Ave Ne, Seattle, WA 98115-6006 | 2020-03-09 |
| 1215420963 | Jacob Markovitz Md Ps | Psychiatry & Neurology | 2208 Nw Market St Ste 501, Seattle, WA 98107-4098 | 2018-06-07 |
| 1972018042 | Amy Mok | Psychiatry & Neurology | 359 Nw 47th St, Seattle, WA 98107-4446 | 2017-12-11 |
| 1003279464 | Monica Kristin Samelson | Psychiatry & Neurology | 1613 E Alder St, Seattle, WA 98122-5622 | 2016-04-03 |
| 1891151031 | Joseph Doumit, Md, Pllc | Psychiatry & Neurology | 625 32nd Ave, Seattle, WA 98122-6335 | 2016-01-04 |
| 1780071415 | Matthew William Mackinnon | Psychiatry & Neurology | 800 5th Ave Ste 900, Seattle, WA 98104-3176 | 2015-04-21 |
| 1063800282 | Pacific Center for Neurostimulation, Pllc | Psychiatry & Neurology | 10740 Meridian Ave N Ste 205, Seattle, WA 98133-9010 | 2014-12-23 |
| 1447662531 | Jason Lee Garner | Psychiatry & Neurology | 4800 Sand Point Way Ne, Ms Oa.5.154, Seattle, WA 98105-3901 | 2014-05-23 |
| 1659791770 | Reza Hosseini Ghomi | Psychiatry & Neurology | 1959 Ne Pacific St Psychiatry Residency Program, Box 356560, Seattle, WA 98195-6560 | 2014-04-16 |
| 1891127643 | Johanna Landinez | Psychiatry & Neurology | 310 15th Ave E Bldg 4th, Seattle, WA 98112 | 2013-08-04 |
| Find all providers in SEATTLE | ||||
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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.