Fred Fedok (NPI# 1760449656, PAC ID# 1153519459) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
Nation Provider ID (NPI) | 1760449656 |
PAC ID by PECOS | 1153519459 |
Professional Enrollment ID | I20150306001027 |
Full Name | Fred Fedok |
Address |
113 E Fern Ave Foley AL 36535-2806 |
Gender | M |
Medical School | PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE |
Graduation Year | 1979 |
Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
Secondary Specialties | OTOLARYNGOLOGY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
010083 | SOUTH BALDWIN REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
113 E Fern Ave, Foley, AL 36535-2806 |
Street Address |
113 E FERN AVE |
City | FOLEY |
State | AL |
Zip | 36535-2806 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jennifer L Aliment | Chiropractic | Family Tree Chiropractic LLC | 8158 Hwy 59 106, Foley, AL 36535 |
Charles V Buckmaster | General Practice | 8158 Hwy 59 107, Foley, AL 36535 | |
Michael G Waters | Urology | 102 Greentree Lane, Foley, AL 36535 | |
Christopher S Aliment | Chiropractic | Family Tree Chiropractic LLC | 8158 Hwy 59 106, Foley, AL 36535 |
Jimmy Steven Hankins | Family Medicine | Coastal Occupational Medicine and Pain Management, P.C. | 915 W Laurel Ave, Foley, AL 36535-1324 |
Gregory T Bonds | Physical Therapy | Coastal Occupational Medicine and Pain Management, P.C. | 915 W Laurel Ave, Foley, AL 36535-1324 |
Sandra R Alexander | General Practice | Coastal Occupational Medicine and Pain Management, P.C. | 915 W Laurel Ave, Foley, AL 36535-1324 |
Amanda R Brantley | Nurse Practitioner | Coastal Occupational Medicine and Pain Management, P.C. | 915 W Laurel Ave, Foley, AL 36535-1324 |
Howard D Salter | Physical Therapy | 780 W Laurel Ave, Foley, AL 36535-1348 | |
Jason Presley | Physician Assistant | Immediate Care Foley, LLC | 1265 S Mckenzie St, Foley, AL 36535-1818 |
Find all physicians in zip 36535 |
City | FOLEY |
Zip Code | 36535 |
Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
City + Specialty | FOLEY + PLASTIC AND RECONSTRUCTIVE SURGERY |
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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.