Judith S Fredericksen (NPI# 1629190905, PAC ID# 0244126316) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1629190905 |
| PAC ID by PECOS | 0244126316 |
| Professional Enrollment ID | I20081029000602 |
| Full Name | Judith S Fredericksen |
| Organization Legal Name | SHENANDOAH MEDICAL ASSOCIATES |
| Address |
625 Virginia Ave Front Royal VA 22630-2717 |
| Phone Number | 5406357991 |
| Gender | F |
| Credential | MD |
| Medical School | STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4486713872 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490033 | WARREN MEMORIAL HOSPITAL |
| 490005 | WINCHESTER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 625 Virginia Ave, Front Royal, VA 22630-2717 | 5406357991 | SHENANDOAH MEDICAL ASSOCIATES |
| Organization Legal Name | SHENANDOAH MEDICAL ASSOCIATES |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rajesh Subedi | Family Medicine | Shenandoah Medical Associates | 625 Virginia Ave, Front Royal, VA 22630-2717 |
| Street Address |
625 VIRGINIA AVE |
| City | FRONT ROYAL |
| State | VA |
| Zip | 22630-2717 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rajesh Subedi | Family Medicine | Shenandoah Medical Associates | 625 Virginia Ave, Front Royal, VA 22630-2717 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca J Vaughan | Clinical Social Worker | 106 Chester St, Front Royal, VA 22630-0030 | |
| Daniel L Carrier | Chiropractic | 307 S St, Front Royal, VA 22630-2113 | |
| Tiffany Marie Judd-alishauskas | Nurse Practitioner | Valley Regional Enterprises, Inc | 415 S St, Front Royal, VA 22630-2115 |
| Bridget M Hickson | Nurse Practitioner | Valley Regional Enterprises, Inc | 415 S St, Front Royal, VA 22630-2115 |
| Heather C. Cook | Nurse Practitioner | Valley Regional Enterprises, Inc | 415 S St, Front Royal, VA 22630-2115 |
| Chinor Fattahi | Nurse Practitioner | Valley Regional Enterprises, Inc | 415 S St, Front Royal, VA 22630-2115 |
| Lacy J Jordan White | Clinical Social Worker | Northwestern Community Services Board | 209 W Criser Rd, Suite 100, Front Royal, VA 22630-2360 |
| Marian O Newton | Nurse Practitioner | Northwestern Community Services Board | 209 W Criser Rd, Suite 100, Front Royal, VA 22630-2360 |
| George Dupuy | Clinical Social Worker | Northwestern Community Services Board | 209 W Criser Rd, Suite 100, Front Royal, VA 22630-2360 |
| Charles Robert Goshen | Psychiatry | Northwestern Community Services Board | 209 W Criser Rd, Suite 100, Front Royal, VA 22630-2360 |
| Find all physicians in zip 22630 | |||
| City | FRONT ROYAL |
| Zip Code | 22630 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FRONT ROYAL + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Judith S Fredericksen.
| 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.