DR. FREDERICK WICKS BRAZDA (NPI# 1902804214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902804214 |
| Entity Type | Individual |
| Full Name | DR. FREDERICK WICKS BRAZDA |
| Credential | M.D. |
| Practice Address |
1901 Perdido St Pathology Dept. 5th Floor New Orleans LA 70112-1393 |
| Practice Telephone | 5045686031 |
| Practice Fax Number | 5045686037 |
| Mailing Telephone | 5045686031 |
| Mailing Fax Number | 5045686037 |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2010-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
011447 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
1901 PERDIDO ST PATHOLOGY DEPT. 5TH FLOOR |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70112-1393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467087668 | Sydney Marie Hodgeson | Student in an Organized Health Care Education/Training Program | 1901 Perdido St, New Orleans, LA 70112-1393 | 2020-03-08 |
| 1699236992 | Jack Logan Harbert | Student in an Organized Health Care Education/Training Program | 1901 Perdido St, Pathology, New Orleans, LA 70118 | 2019-03-28 |
| 1841751120 | Fernanda Da Silva Lameira | Student in an Organized Health Care Education/Training Program | 1901 Perdido St, New Orleans, LA 70112-1393 | 2019-03-28 |
| 1730615147 | Walter Beversdorf | Student in an Organized Health Care Education/Training Program | 1901 Perdido St, P5-1, New Orleans, LA 70112-1393 | 2017-05-04 |
| 1346698578 | Jhanvi Kanotra | Student in an Organized Health Care Education/Training Program | 1901 Perdido St, Meb Room 5232, New Orleans, LA 70112-1393 | 2016-05-27 |
| 1558628859 | Abdulla Majid-moosa | Student in an Organized Health Care Education/Training Program | 1901 Perdido St, New Orleans, LA 70112-1393 | 2012-04-12 |
| 1376860494 | Nicole Christine Lapinel | Internal Medicine | 1901 Perdido St, Suite 3205, New Orleans, LA 70112-1393 | 2010-04-29 |
| 1538483359 | Michelle Mary Korah-sedgwick | Allergy & Immunology | 1901 Perdido St, Suite 3205, New Orleans, LA 70112-1393 | 2010-03-23 |
| 1881828747 | Jason Mckay Miller | Internal Medicine | 1901 Perdido St, Suite 3205, New Orleans, LA 70112-1393 | 2009-05-07 |
| 1740424514 | Elizabeth Bramel Rinker | Pathology | 1901 Perdido St, New Orleans, LA 70112-1393 | 2009-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346867306 | Suayp Oygen | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave., #8545 Suite 7209, New Orleans, LA 70112 | 2020-06-25 |
| 1073132692 | Bianca Ngwe Ndeso Fomukong | Student in an Organized Health Care Education/Training Program | 450a South Claiborne, Room 521, New Orleans, LA 70112 | 2020-04-14 |
| 1184253510 | Arya Mohammad Reza Loghmani | Student in an Organized Health Care Education/Training Program | 1542 Tulane Avenue, Box T4m-2, New Orleans, LA 70112 | 2020-04-07 |
| 1447889365 | Kinnah Menta Hughes | Student in an Organized Health Care Education/Training Program | 1900 Gravier Street, New Orlens, LA 70112 | 2020-04-02 |
| 1396373924 | Carson Mills | Student in an Organized Health Care Education/Training Program | Tulane University School of Medicine, Dept of Surgery, 1430 Tulane Ave., Mail Code 8622, New Orleans, LA 70112 | 2020-03-30 |
| 1417585134 | Pate Duddleston | Student in an Organized Health Care Education/Training Program | 131 S. Robertson St., Ste. 1300 Mail Code 8047, New Orleans, LA 70112 | 2020-03-29 |
| 1467090084 | Camilla Henderson | Technician, Pathology | 1415 Tulane Hospital, New Orleans, LA 70112 | 2019-12-13 |
| 1942850615 | Shannon R. Bierma | Psychologist | 1542 Tulane Ave, Department of Psychiatry, New Orleans, LA 70112 | 2019-09-16 |
| 1326608035 | Julia Obehi Aigbogun | Student in an Organized Health Care Education/Training Program | Tulane Hospital and Clinics 1415 Tulane Avenue, New Orleans, LA 70112 | 2019-06-14 |
| 1477016970 | Nicole Marie Crozat | Student in an Organized Health Care Education/Training Program | Dept of Psych, 1542 Tulane Avenue, New Orleans, LA 70112 | 2019-04-11 |
| Find all providers in zip 70112 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265827893 | Cacey William Peters | Pathology | 1430 Tulane Avenue Sl-79, New Orleans, LA 70112 | 2015-03-31 |
| 1811308455 | Ryan Bradbury Craig | Pathology | 1415 Tulane Ave Fl 2, New Orleans, LA 70112 | 2014-05-16 |
| 1548404841 | Dianne Kovacic | Pathology | 1601 Perdido St Rm 10g-167, Slvhcs Dept of Pathology, New Orleans, LA 70112-1262 | 2009-04-30 |
| 1497923957 | Michelle Echeverri | Pathology | 1430 Tulane Ave # Sl79, New Orleans, LA 70112-2632 | 2008-02-18 |
| 1548374440 | Krzysztof Moroz | Pathology | Tulane Univ.sch. of Med., (sl79), 1430 Tulane Ave., New Orleans, LA 70112-2699 | 2006-08-18 |
| 1629091665 | Randall Douglas Craver | Pathology | Children's Hospital - Pathology Dept, 200 Henry Clay Ave, New Orleans, LA 70118 | 2006-07-25 |
| 1467871616 | Zachary J Dureau | Pathology | 1514 Jefferson Hwy, New Orleans, LA 70121 | 2014-04-15 |
| 1427349448 | Kim Gregory Mayhall Jr. | Pathology | 1430 Tulane Ave, Sl-79, New Orleans, LA 70112-2632 | 2011-04-25 |
| 1275832081 | Caroline Raasch Alquist | Pathology | 1514 Jefferson Hwy, Dept of Pathology, New Orleans, LA 70121-2429 | 2011-03-18 |
| 1770882672 | Laura Ellen Bratton | Pathology | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2011-03-18 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70112 |
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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.