Deedra J Frederick (NPI# 1033618814, PAC ID# 0941565295) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1033618814 |
| PAC ID by PECOS | 0941565295 |
| Professional Enrollment ID | I20180607001426 |
| Full Name | Deedra J Frederick |
| Organization Legal Name | COFFEY COUNTY HOSPITAL |
| Address |
801 N 4th St Burlington KS 66839-2602 |
| Phone Number | 62036421214182 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4981598653 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 171385 | COFFEY COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 801 N 4th St, Burlington, KS 66839-2602 | 62036421214182 | COFFEY COUNTY HOSPITAL |
| Organization Legal Name | COFFEY COUNTY HOSPITAL |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael L Goodmon | Certified Registered Nurse Anesthetist | Coffey County Hospital | 801 N, 4th, Burlington, KS 66839-2602 |
| Brenda S Salazar | Nurse Practitioner | Coffey County Hospital | 801 N 4th St, Burlington, KS 66839-2602 |
| Timothy C Spears | Family Medicine | Coffey County Hospital | 801 N 4th St, Burlington, KS 66839-2602 |
| Jeffrey S Rinker | Certified Registered Nurse Anesthetist (crna) | Coffey County Hospital | 801 N 4th St, Burlington, KS 66839-2602 |
| Myra A Johnson | Nurse Practitioner | Coffey County Hospital | 801 N 4th St, Burlington, KS 66839-2602 |
| Street Address |
801 N 4TH ST |
| City | BURLINGTON |
| State | KS |
| Zip | 66839-2602 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenda S Salazar | Nurse Practitioner | Coffey County Hospital | 801 N 4th St, Burlington, KS 66839-2602 |
| Kevin S Hughes | Diagnostic Radiology | 801 N 4th St, Coffey County Hospital, Burlington, KS 66839-2602 | |
| Timothy C Spears | Family Medicine | Coffey County Hospital | 801 N 4th St, Burlington, KS 66839-2602 |
| April Gatson | Family Medicine | 801 N 4th St, Longview, TX 75601-5414 | |
| Jeffrey S Rinker | Certified Registered Nurse Anesthetist (crna) | Coffey County Hospital | 801 N 4th St, Burlington, KS 66839-2602 |
| Myra A Johnson | Nurse Practitioner | Coffey County Hospital | 801 N 4th St, Burlington, KS 66839-2602 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lloyd D Herder | Optometry | 225 Cross St, Burlington, KS 66839-1191 | |
| Mark W Farthing | Chiropractic | 219 N 3rd St, Burlington, KS 66839-1317 | |
| Michael L Goodmon | Certified Registered Nurse Anesthetist | Coffey County Hospital | 801 N, 4th, Burlington, KS 66839-2602 |
| Hollee Mae Kirchner | Chiropractic | 910 N 4th St, Burlington, KS 66839-2603 | |
| R Wayne Kirchner | Chiropractic | 910 N, 4th, Burlington, KS 66839-2603 | |
| Jeff M Sloyer | Family Medicine | Coffey County Medical Center | 309 Sanders St, Burlington, KS 66839-2616 |
| John R Shell | Family Medicine | Coffey County Medical Center | 309 Sanders St, Burlington, KS 66839-2616 |
| Beverly M Clark | Family Medicine | Coffey County Medical Center | 309 Sanders St, Burlington, KS 66839-2616 |
| Shane T Fejfar | Orthopedic Surgery | Coffey County Medical Center | 309 Sanders St, Burlington, KS 66839-2616 |
| Richard L Fox Ii | Family Medicine | Coffey County Medical Center | 309 Sanders St, Burlington, KS 66839-2616 |
| Find all physicians in zip 66839 | |||
| City | BURLINGTON |
| Zip Code | 66839 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BURLINGTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Deedra J Frederick.
| 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.