WAYNE AI FREDERICK (NPI# 1962408252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962408252 |
| Entity Type | Individual |
| Full Name | WAYNE AI FREDERICK |
| Credential | MD |
| Practice Address |
2041 Georgia Ave Nw Ste 4000 Washington DC 20060-0001 |
| Mailing Address |
6138 31st Pl Nw Washington DC 20015-1502 |
| Practice Telephone | 2028656237 |
| Practice Fax Number | 8606791390 |
| Mailing Telephone | 2028656237 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2019-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | MD30905 | DC | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 041334 | CT | Allopathic & Osteopathic Physicians |
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
MD30905 | DC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | 037841900 | 05 | |
| VA | 010266505 | 05 | |
| MD | 410159600 | 05 |
| Street Address |
2041 GEORGIA AVE NW STE 4000 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20060-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154936516 | Carine Noubeg Motto | Registered Nurse | 2041 Georgia Ave Nw, Washington, DC 20060-2112 | 2020-09-12 |
| 1083237499 | Ammara Mahmood | Student in an Organized Health Care Education/Training Program | 2041 Georgia Ave Nw, Washington, DC 20060-0001 | 2020-05-20 |
| 1194346361 | Camila Ayanna Leah Haynes | Student in an Organized Health Care Education/Training Program | 2041 Georgia Ave Nw, Washington, DC 20060 | 2020-04-29 |
| 1366062614 | Sidney Amankwah | Student in an Organized Health Care Education/Training Program | 2041 Georgia Ave Nw, Washington, DC 20060-0002 | 2020-04-16 |
| 1972122661 | Marriam Nasserjah | Student in an Organized Health Care Education/Training Program | 2041 Georgia Ave Nw, Washington, DC 20060-0001 | 2020-04-13 |
| 1598384307 | Hundaol Shamsan Yadeta | Student in an Organized Health Care Education/Training Program | 2041 Georgia Ave Nw, Washington, DC 20060-0002 | 2020-04-11 |
| 1831728161 | Oyindamola Oluseye | Dentist | 2041 Georgia Ave Nw, Washington, DC 20060-0002 | 2020-04-08 |
| 1679192850 | Rebecca Bibum | Student in an Organized Health Care Education/Training Program | 2041 Georgia Ave Nw, Washington, DC 20060-0001 | 2020-04-08 |
| 1528697844 | Hiwot Abebaw Hunegnaw | Student in an Organized Health Care Education/Training Program | 2041 Georgia Ave Nw, Washington, DC 20060-0001 | 2020-04-07 |
| 1164051439 | Dyrian Wandick | Student in an Organized Health Care Education/Training Program | 2041 Georgia Ave Nw, Washington, DC 20060-0001 | 2020-04-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629690631 | Idil Ibrahim | Student in an Organized Health Care Education/Training Program | 2041 Georgia Avenue Washington, Nw, Washington, DC 20060 | 2020-05-13 |
| 1740801570 | Felix Wadja Wireko | Student in an Organized Health Care Education/Training Program | 2041 Georgia Avenue, Nw Howard University Hospital, Washington, DC 20060 | 2020-05-04 |
| 1326669235 | Priscilla Agyemang Ababio | Student in an Organized Health Care Education/Training Program | 2041 Georgia Avenue, Nw, Howard University Hospital, Washington, DC 20060 | 2020-05-01 |
| 1932738226 | Ahmed Brgdar | Student in an Organized Health Care Education/Training Program | Howard University Hospital 2041 Georgia Avenue, Nw., Washington, DC 20060 | 2020-04-07 |
| 1427614437 | Shai Ian Bernard Stewart | Student in an Organized Health Care Education/Training Program | Howard University Hospital - Surgery Program Office, 2041 Georgia Avenue, Washinton, DC 20060 | 2019-05-15 |
| 1588127039 | Kamilah Anika Tricia Fernandez | Student in an Organized Health Care Education/Training Program | Howard University Hospital 2041 Georgia Avenue, Nw, Washington Dc, WA 20060 | 2019-04-11 |
| 1740741024 | Arjun Dev Saini | Student in an Organized Health Care Education/Training Program | 2041 Georgia Ave Nw # 2107, Washington, DC 20060 | 2019-03-28 |
| 1427547710 | Lorenzo Elliot Leys | Student in an Organized Health Care Education/Training Program | Howard University Hospital Internal Medicine, 2041 Georgia Avenue, Washington, DC 20060 | 2018-05-02 |
| 1851889877 | Fareed Rajack | Student in an Organized Health Care Education/Training Program | 2041 Georgina Avenue N.w., Howard University Hospital, Washington, DC 20060 | 2018-04-25 |
| 1801393855 | Rodney Christian Guiseppi | Student in an Organized Health Care Education/Training Program | 2401 Georgia Avenue, Nw (howard University Hospital), Washington, DC 20060 | 2018-04-06 |
| Find all providers in zip 20060 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205081015 | Scott Lane Williams | Surgery | 1177 22nd St Nw, Unit 4d, Washington, DC 20037-1252 | 2008-11-20 |
| 1407828387 | David S. Wade | Surgery | 935 Pennsylvania Ave Nw, Washington, DC 20535-0001 | 2006-02-03 |
| 1235688896 | Sugarbaker Hong Surgical Associates PC | Surgery | 106 Irving St Nw, Ste. 3900, Washington, DC 20010-2927 | 2016-09-23 |
| 1720405665 | Ian Thomas Greenwalt | Surgery | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2014-03-27 |
| 1316237282 | Danier Moore | Surgery | 2041 Georgia Ave Nw, Washington, DC 20060-0001 | 2011-04-13 |
| 1619101102 | Joyce Wong | Surgery | 700 2nd St Ne, Washington, DC 20002 | 2009-05-12 |
| 1902063282 | Jack W Rostas IIi | Surgery | 1314 E Walnut St, Washington, IN 47501-2860 | 2008-05-22 |
| 1396883930 | Jeffrey Jerome Pelton | Surgery | 700 2nd St Ne, Washington, DC 20002-8100 | 2007-02-04 |
| 1184658668 | Craig David Shriver | Surgery | 6900 Georgia Ave Nw, Heaton Pavilion, Room 5512, Washington, DC 20307-0003 | 2006-07-10 |
| 1902878713 | Sugarbaker Oncology Associates, PC | Surgery | 106 Irving St Nw, Suite N-3900, Washington, DC 20010-2927 | 2006-02-06 |
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| City | WASHINGTON |
| Zip Code | 20060 |
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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.