DR. ANDREW S FREDERICKS (NPI# 1972913002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972913002 |
| Entity Type | Individual |
| Full Name | DR. ANDREW S FREDERICKS |
| Credential | M.D. |
| Practice Address |
5201 Harry Hines Blvd Graduate Medical Education Dallas TX 75235-7708 |
| Mailing Address |
221 West Colorado Blvd Pavilion 2, Suite 525 Dallas TX 75208 |
| Practice Telephone | 2145908058 |
| Mailing Telephone | 4693792915 |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2020-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
Q7370 | TX | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | Q7370 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 221 West Colorado Blvd, Pavilion 2, Suite 525, Dallas, TX 75208 | 4693792915 |
| Street Address |
5201 HARRY HINES BLVD GRADUATE MEDICAL EDUCATION |
| City | DALLAS |
| State | TX |
| Zip Code | 75235-7708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922004449 | Polly Bennett Cordova | Advanced Practice Midwife | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2005-06-21 |
| 1316580368 | Natashea Lewis | Nurse Practitioner | 5201 Harry Hines Blvd, Dallas, TX 75235-7793 | 2019-10-22 |
| 1386285328 | Eva Kirara | Registered Nurse | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2019-10-01 |
| 1003467879 | Sunny Akwo Makolo | Nurse Practitioner | 5201 Harry Hines Blvd, Dallas, TX 75235-7793 | 2019-09-24 |
| 1396303236 | Alexandra D'oto | Student in an Organized Health Care Education/Training Program | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2019-06-05 |
| 1154883072 | Patrick Ahern | Student in an Organized Health Care Education/Training Program | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2019-04-01 |
| 1609337153 | Gianpaolo Carpinito | Student in an Organized Health Care Education/Training Program | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2019-03-27 |
| 1104397827 | Danielle Theresa Brown | Physical Therapist | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2018-12-06 |
| 1992274948 | Carol Chamberlain | Pharmacist | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2018-11-20 |
| 1730657875 | Paul Tran | Pharmacist | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2018-11-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058895 | Kailey Elaine Flowers | Physical Therapy Assistant | 2400 Empire Central Drive, Suite B, Dallas, TX 75235 | 2020-06-19 |
| 1265061071 | Bella Xinyi O'malley | Student in an Organized Health Care Education/Training Program | 1935 Medical Drive, Dallas, TX 75235 | 2020-04-03 |
| 1427687318 | Can Ozlu | Student in an Organized Health Care Education/Training Program | Children's Medical Center of Dallas, 1935 Medical Distr, Dallas, TX 75235 | 2020-04-03 |
| 1689137515 | Tarek Mansi | Student in an Organized Health Care Education/Training Program | 2222 Medical District Dr Apt 4325, Dallas, TX 75235 | 2019-04-08 |
| 1386117125 | Christine Elizabeth Smith | Physician Assistant | 8134 Tex Oak Avenue, Dallas, TX 75235 | 2019-01-04 |
| 1447720016 | Michelle Angelina Dye | Physician Assistant | 5959 Maple Avenue Apt 1171, Dallas, TX 75235 | 2018-11-27 |
| 1255869335 | Andrea Nicole Pennington-peace | Specialist/Technologist, Other | 1935 Medial District, Dallas, TX 75235 | 2017-06-01 |
| 1194258152 | Tricia Rood | Student in an Organized Health Care Education/Training Program | 5200 Harry Hines Blvd., Dallas, TX 75235 | 2017-04-06 |
| 1437690971 | Robin Lee | Counselor | 8915 Hrry Hines Blvd, Dallas, TX 75235 | 2017-03-16 |
| 1871033746 | Javier Davila-lopez | Counselor | 1545 Mockingbird Lane, Suite 4000, Dallas, TX 75235 | 2017-02-27 |
| Find all providers in zip 75235 | ||||
| Taxonomy Code | 207LC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Critical Care Medicine |
| An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598151987 | Jason Valladares | Anesthesiology | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2015-04-13 |
| 1861713810 | William Scott Blessing, Md, Pa | Anesthesiology | 5445 La Sierra Dr, Suite 410, Dallas, TX 75231-4139 | 2010-06-14 |
| 1669799490 | Joy Lo Chen | Anesthesiology | 5323 Harry Hines Blvd, Graduate Medical Education, Dallas, TX 75390-7201 | 2010-05-04 |
| 1518284389 | Kristina Liselotte Goff | Anesthesiology | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2010-05-03 |
| 1194848192 | Sphinx Anesthesia Provdiders, Pa | Anesthesiology | 3500 Gaston Ave, Dallas, TX 75246-2017 | 2007-04-06 |
| 1023127131 | Gokul K Bysani | Anesthesiology | 7777 Forest Ln Ste D569, Dallas, TX 75230-6903 | 2006-08-30 |
| 1861443996 | William Scott Blessing | Anesthesiology | 5445 La Sierra Dr, Suite 410, Dallas, TX 75231-4139 | 2006-05-13 |
| 1043261290 | Udaya Bhaskar Padakandla | Anesthesiology | 6606 Lbj Fwy, Suite 200, Dallas, TX 75240-6533 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891240552 | Alaric II | Anesthesiology | 3333 Allen Pkwy, Suite 1403, Houston, TX 77019-1854 | 2016-08-23 |
| 1700279965 | Biman Das | Anesthesiology | 2338 Maroneal St, Houston, TX 77030-3218 | 2015-03-12 |
| 1588075667 | Srikar Jonna | Anesthesiology | 6431 Fannin St # 5.020, Houston, TX 77030-1501 | 2014-05-12 |
| 1568773547 | Deepinder Mann | Anesthesiology | Anesthesiology Route 0877, 301 University Blvd, Galveston, TX 77555-0877 | 2010-06-24 |
| 1174720437 | Javier Jorge Lasa | Anesthesiology | 6622 Fannin St, West Tower, W6006, Houston, TX 77030-2300 | 2007-06-29 |
| 1912979733 | Adetola Talabi | Anesthesiology | 6112 Grand Blvd, Houston, TX 77021-1177 | 2006-02-06 |
| 1740250679 | Joseph Peter Michael Byrnes | Anesthesiology | 59mdw/mcoa Anesthesiology, 2200 Berquist Drive, Suite 1, San Antonio, TX 78236-5300 | 2006-01-24 |
| 1467063016 | Robert Harold Brinkley Jr. | Anesthesiology | 3005 S Lamar Blvd, Austin, TX 78704-8864 | 2020-08-16 |
| 1497224356 | U.S. Intensivist Partners | Anesthesiology | 605 Holderrieth Blvd, Tomball, TX 77375-6445 | 2018-11-20 |
| 1801374756 | Connie Lynn Arrington | Anesthesiology | 6720 Bertner Ave Ste O-520, Houston, TX 77030-2604 | 2018-08-02 |
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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.