Douglas R. Fredrick (NPI# 1053366633, PAC ID# 0042227274) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1053366633 |
| PAC ID by PECOS | 0042227274 |
| Professional Enrollment ID | I20180829002687 |
| Full Name | Douglas R. Fredrick |
| Organization Legal Name | ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI |
| Address |
17 E 102nd St 8th Fl Ophthalmology Department of Mount New York NY 10029-5204 |
| Phone Number | 212241811848118 |
| Gender | M |
| Credential | MD |
| Medical School | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 2264691070 |
| Number of Group Practice Members | 1732 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330100 | NY EYE AND EAR INFIRMARY OF MOUNT SINAI |
| 330024 | MOUNT SINAI HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 17 E 102nd St 8th Fl, Ophthalmology Department of Mount, New York, NY 10029-5204 | 212241811848118 | ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI |
| 310 E 14th St, New York, NY 10003-4201 | 2129794500 | ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NYEE FACULTY PRACTICE |
| Organization Legal Name | ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI |
| Physicians | 2274 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheela S. Maru | Obstetrics/gynecology | Icahn School of Medicine At Mount Sinai | 7901 Broadway, Rm A1 19, Elmhurst, NY 11373-1329 |
| Matthew Ck Pieh | Psychiatry | Icahn School of Medicine At Mount Sinai | 1425 Madison Ave, New York, NY 10029-6514 |
| Julietta D Rubin | Internal Medicine | Icahn School of Medicine At Mount Sinai | 234 E 85th St, New York, NY 10028-3001 |
| Ariella Nouriel | Obstetrics/gynecology | Icahn School of Medicine At Mount Sinai | 5 E 98th St-14th Flr, Ob/gyn Department, New York, NY 10029-6501 |
| Eric Q Lee | Otolaryngology | Icahn School of Medicine At Mount Sinai | 100 Th St and Madison, Annenberg Bld 3rd Floor, New York, NY 10029-6500 |
| Sarah E Grossman | Nurse Practitioner | Icahn School of Medicine At Mount Sinai | 300 Cadman W Plz, Brooklyn, NY 11201-2701 |
| Heather S Viola | Internal Medicine | Icahn School of Medicine At Mount Sinai | 2109 Broadway, New York, NY 10023-2138 |
| Dina Malavsky | Physician Assistant | Icahn School of Medicine At Mount Sinai | 1203 Ave J, Fl 2, Brooklyn, NY 11230-3669 |
| Kumi D Kay | Physical Therapy | Icahn School of Medicine At Mount Sinai | 729 7th Ave, New York, NY 10019-6831 |
| Stephanie K Tankou | Neurology | Icahn School of Medicine At Mount Sinai | 5 E 98th Street-1st Fl, Dept of Neurology, New York, NY 10029-6501 |
| Street Address |
17 E 102ND ST 8TH FL OPHTHALMOLOGY DEPARTMENT OF MOUNT |
| City | NEW YORK |
| State | NY |
| Zip | 10029-5204 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nisha Chadha | Ophthalmology | Icahn School of Medicine At Mount Sinai | 17 E 102nd St 8th Fl, Ophthalmology Department of Mount, New York, NY 10029-5204 |
| James C Tsai | Ophthalmology | Icahn School of Medicine At Mount Sinai | 17 E 102nd St 8th Fl, Ophthalmology Department of Mount, New York, NY 10029-5204 |
| Edward L Raab | Ophthalmology | Icahn School of Medicine At Mount Sinai | 17 E 102nd St 8th Fl, Ophthalmology Department of Mount, New York, NY 10029-5204 |
| David J Harris | Ophthalmology | Icahn School of Medicine At Mount Sinai | 17 E 102nd St 8th Fl, Ophthalmology Department of Mount, New York, NY 10029-5204 |
| Jared J Hayashi | Optometry | Icahn School of Medicine At Mount Sinai | 17 E 102nd St 8th Fl, Ophthalmology Department of Mount, New York, NY 10029-5204 |
| Joel Mindel | Ophthalmology | Icahn School of Medicine At Mount Sinai | 17 E 102nd St 8th Fl, Ophthalmology Department of Mount, New York, NY 10029-5204 |
| Tamiesha Frempong | Ophthalmology | Icahn School of Medicine At Mount Sinai | 17 E 102nd St 8th Fl, Ophthalmology Department of Mount, New York, NY 10029-5204 |
| Bessie Abraham | Optometry | Icahn School of Medicine At Mount Sinai | 17 E 102nd St 8th Fl, Ophthalmology Department of Mount, New York, NY 10029-5204 |
| Donna J Gagliuso | Ophthalmology | Icahn School of Medicine At Mount Sinai | 17 E 102nd St 8th Fl, Ophthalmology Department of Mount, New York, NY 10029-5204 |
| Gareth M Lema | Ophthalmology | Icahn School of Medicine At Mount Sinai | 17 E 102nd St 8th Fl, Ophthalmology Department of Mount, New York, NY 10029-5204 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judah M Fierstein | Emergency Medicine | Icahn School of Medicine At Mount Sinai | 100 St and Madison Ave, New York, NY 10029 |
| Frederick L Thum | Emergency Medicine | Fpa Hospital Based | 100 Th St and Madison Ave, New York, NY 10029 |
| Al O Giwa | Emergency Medicine | Fpa Hospital Based | 100 Th St and Madison Ave, New York, NY 10029 |
| Shefali Trivedi | Emergency Medicine | Fpa Hospital Based | 100 Th St and Madison Ave, New York, NY 10029 |
| Carl Mickman | Emergency Medicine | Fpa Hospital Based | 100 Th St and Madison Ave, New York, NY 10029 |
| Pedro Giron | Emergency Medicine | Fpa Hospital Based | 100 Th St and Madison Ave, New York, NY 10029 |
| Judah Sueker | Emergency Medicine | Fpa Hospital Based | 100 Th St and Madison Ave, New York, NY 10029 |
| Christopher Gannon Strother | Pediatric Medicine | Fpa Hospital Based | 100 Th St and Madison Ave, New York, NY 10029 |
| Jonathan Schimmel | Emergency Medicine | Fpa Hospital Based | 100 Th St and Madison Ave, New York, NY 10029 |
| Vaishali R Patel | Emergency Medicine | Fpa Hospital Based | 100 Th St and Madison Ave, New York, NY 10029 |
| Find all physicians in zip 10029 | |||
| City | NEW YORK |
| Zip Code | 10029 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | NEW YORK + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Douglas R. Fredrick.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.