DR. RYAN MICHAEL FREDERICKS


Address: Ky Children's Hospital 800 Rose St 4th Floor, Lexington, KY 40536-0293
Phone: 8592180921

DR. RYAN MICHAEL FREDERICKS (NPI# 1942612510) 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) 1942612510
Entity Type Individual
Full Name DR. RYAN MICHAEL FREDERICKS
Credential M.D.
Practice Address Ky Children's Hospital 800 Rose St 4th Floor
Lexington
KY 40536-0293
Mailing Address 800 Rose St
Lexington
KY 40536-7001
Practice Telephone 8592180921
Mailing Telephone 8593235962
Mailing Fax Number 8593233499
Enumeration Date 2014-05-29
Last Update Date 2020-06-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
54060 KY Allopathic & Osteopathic Physicians
N 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
TP281 KY Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program DR.0058516 CO Student, Health Care
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
13123 E. 16th Avenue, Children's Hospital Colorado, Anschutz Medical Campus, Aurora, CO 800457106 7207771234
20 York St, Yale-new Haven Hospital, New Haven, CT 065103220 2036884242

Office Location

Street Address KY CHILDREN'S HOSPITAL 800 ROSE ST 4TH FLOOR
City LEXINGTON
State KY
Zip Code 40536-0293

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790394583 Mary Luz Calderon Physician Assistant Uk Pediatric Neonatology, 800 Rose St 4th Fl, Lexington, KY 40536 2020-07-28
1598389421 Storm Bryant Dutton Physician Assistant Uk Emergency Department - Chandler, 1000 S Limestone, Lexington, KY 40536 2020-06-06
1720601545 Tyler Allen Pape Physician Assistant Uk Surgery Clinic - General, 740 S Limestone Ste L104, Lexington, KY 40536 2020-05-27
1417579269 Kacy Clinkenbeard Physician Assistant Uk Healthcare-icu, 800 Rose St, Lexington, KY 40536 2020-05-15
1023578804 William Chalmers Ruffin Student in an Organized Health Care Education/Training Program 740 South Limestone St. E300e, Lexington, KY 40536 2019-03-20
1942705728 Karah Lee Ellen Brown Dentist 800 Rose Street, Room D-508, Lexington, KY 40536 2018-03-26
1982109708 Khader Samir Habash Dentist 740 S Limestone Room A262, Lexington, KY 40536 2018-03-25
1609370683 Casey Michael Fitzgerald Otolaryngology 740 South Limestone Ears Nose and Throat Clinic, Lexington, KY 40536 2018-03-22
1538663992 Heather Oaks Nurse Practitioner Uk Gill Heart Institute 800 Rose St, Lexington, KY 40536 2018-03-21
1396268223 Prasanna Kumar Gangishetti Pediatrics 800 Rose St Rm No Mn-118, Lexington, KY 40536 2017-07-23
Find all providers in zip 40536

Taxonomy Information

Taxonomy Code 2080P0203X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Critical Care Medicine

Taxonomy Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841516200 Asha N Shenoi Pediatrics 800 Rose St, Lexington, KY 40536-0001 2010-04-10
1346494754 Matthew Keith Bacon Pediatrics 800 Rose St, Mn470, Lexington, KY 40536-0001 2008-11-12
1992912166 Scottie Brian Day Pediatrics 800 Rose St, Mn 462, Lexington, KY 40536-0001 2007-05-17
1073720314 Ashwin Subramani Krishna Pediatrics 800 Rose St, Department of Pediatrics, Lexington, KY 40536 2007-05-17
1992725212 Cheri Denise Landers Pediatrics 740 S Limestone, Lexington, KY 40536-0001 2006-07-20
1316966146 Philip A Bernard Pediatrics 2333 Alumni Park Plz, Suite 200, Lexington, KY 40517-4012 2006-07-19
1760401251 Marion Dawn Turner Pediatrics 740 S Limestone, Lexington, KY 40536-0001 2006-07-18
1548285174 Horacio Francisco Zaglul Pediatrics 740 S Limestone, Lexington, KY 40536-0001 2006-07-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477079317 Jennifer Margaret Rice Pediatrics 231 E Chestnut St, Louisville, KY 40202-1821 2017-08-22
1972859098 University of Louisville Physicians, Inc. Pediatrics 9700 Park Plaza Ave, Suite 110, Louisville, KY 40241-2236 2012-07-26
1164788899 University of Louisville Physicians Pediatrics 231 E Chestnut St, Louisville, KY 40202-1821 2012-04-06
1235495961 University of Louisville Research Foundation Pediatrics 231 E Chestnut St, Louisville, KY 40202-1821 2012-04-06
1609192699 Lindsey K Rasmussen Pediatrics 231 E Chestnut St, Louisville, KY 40202-1821 2010-04-15

Competitor

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City LEXINGTON
Zip Code 40536

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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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