Kim S Frederickson (NPI# 1003995291, PAC ID# 0244205078) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1003995291 |
| PAC ID by PECOS | 0244205078 |
| Professional Enrollment ID | I20040826000592 |
| Full Name | Kim S Frederickson |
| Organization Legal Name | NOVATO DERMATOLOGY ASSOCIATES A MEDICAL CORPORATION |
| Address |
867 Diablo Ave Novato CA 94947-4007 |
| Phone Number | 4158920754 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 2466345467 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050131 | NOVATO COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 867 Diablo Ave, Novato, CA 94947-4007 | 4158920754 | NOVATO DERMATOLOGY ASSOCIATES A MEDICAL CORPORATION |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 99% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 2% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 5% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 0% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 94% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 0% |
| Organization Legal Name | NOVATO DERMATOLOGY ASSOCIATES A MEDICAL CORPORATION |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen L Dalton | Dermatology | Novato Dermatology Associates A Medical Corporation | 867 Diablo Ave, Novato, CA 94947-4007 |
| Street Address |
867 DIABLO AVE |
| City | NOVATO |
| State | CA |
| Zip | 94947-4007 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen L Dalton | Dermatology | Novato Dermatology Associates A Medical Corporation | 867 Diablo Ave, Novato, CA 94947-4007 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mahr Elder | Oral Surgery | 1805 Novato Blvd, Suite 1, Novato, CA 94947-2934 | |
| David W Epstein | Oral Surgery | 1701 Novato Blvd, Suite 306, Novato, CA 94947-3030 | |
| Edgar Craig Mc Curdy | Optometry | 1730 Novato Blvd, Suite C, Novato, CA 94947-3048 | |
| Louisa Ann Parks | Clinical Psychologist | 1683 Novato Blvd, Suite 1b, Novato, CA 94947-3204 | |
| Mark D Kamena | Clinical Psychologist | 1683 Novato Blvd, 1b, Novato, CA 94947-3204 | |
| Gina R Keelen | Chiropractic | Podwojski Keelen Chiropractic Corporation | 1561 S Novato Blvd A, Novato, CA 94947-4100 |
| Paul D Podwojski | Chiropractic | Podwojski Keelen Chiropractic Corporation | 1561 S Novato Blvd A, Novato, CA 94947-4100 |
| Thomas P Young Iii | Nurse Practitioner | 1615 Hill Rd, Suite 14, Novato, CA 94947-4304 | |
| Neil Khanna | Psychiatry | 655 Canyon Rd, Novato, CA 94947-4331 | |
| Jeffrey Lynn Stevenson | General Practice | 300 Professional Ctr Dr, Suite 326, Novato, CA 94947-4334 | |
| Find all physicians in zip 94947 | |||
| City | NOVATO |
| Zip Code | 94947 |
| Specialty | DERMATOLOGY |
| City + Specialty | NOVATO + DERMATOLOGY |
Please comment or provide details below to improve the information on Kim S Frederickson.
| 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.