Leslie G Frederiksen (NPI# 1720015324, PAC ID# 2860474046) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1720015324 |
| PAC ID by PECOS | 2860474046 |
| Professional Enrollment ID | I20040602000683 |
| Full Name | Leslie G Frederiksen |
| Organization Legal Name | PARKVIEW ANCILLARY SERVICES CORPORATION |
| Address |
4010 Jerry Murphy Rd Pueblo CO 81001-1099 |
| Phone Number | 7195462229 |
| Gender | F |
| Credential | MD |
| Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 4385722511 |
| Number of Group Practice Members | 228 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060020 | PARKVIEW MEDICAL CENTER INC |
| Address | Phone | Organization |
|---|---|---|
| 4010 Jerry Murphy Rd, Pueblo, CO 81001-1099 | 7195462229 | PARKVIEW ANCILLARY SERVICES CORPORATION |
| Organization Legal Name | PARKVIEW ANCILLARY SERVICES CORPORATION |
| Physicians | 237 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ritika Puri | Endocrinology | Parkview Ancillary Services Corporation | 4722 Ealgeridge Circle, Parkview Endpcrinology, Puelbo, CO 81008-2120 |
| Lisa L Laginess | Nurse Practitioner | Parkview Ancillary Services Corporation | 1304 N Grand Ave, Parkview Medical Group Pain Management, Pueblo, CO 81003-2718 |
| Praveen Maheshwari | Anesthesiology | Parkview Ancillary Services Corporation | 330 W 14th St, Anesthesia and Pain Management Services of Pueblo, Pueblo, CO 81003-2705 |
| Marcus A. Barber | Vascular Surgery | Parkview Ancillary Services Corporation | 1401 Court St, Pueblo, CO 81003-2715 |
| Geepress D Corpuz | Internal Medicine | Parkview Ancillary Services Corporation | 311 W 14th St, Parkview Adult Medicine Clinic, Pueblo, CO 81003-2710 |
| Jamie Jinyoung Yi | Certified Registered Nurse Anesthetist (crna) | Parkview Ancillary Services Corporation | 408 N Main St, Parkview Ancillary Services Corporation, Pueblo, CO 81003-3123 |
| Christopher Ryan Boone | Family Medicine | Parkview Ancillary Services Corporation | 121 S Crescent Dr, Parkview Family Medicine Pueblo West, Pueblo, CO 81007-5434 |
| Raj Vashistha | Interventional Cardiology | Parkview Ancillary Services Corporation | 3670 Parker Blvd, Suite 101, Pueblo, CO 81008-2285 |
| Lauren E Spain | Physician Assistant | Parkview Ancillary Services Corporation | 1619 N Greewood, 106 Parkview Neurology Services, Pueblo, CO 81003-2655 |
| William C Wilbur | Certified Registered Nurse Anesthetist (crna) | Parkview Ancillary Services Corporation | 408 N Main St Floor, 2 Parkview Medical Group Anesthesiology, Pueblo, CO 81003-3123 |
| Street Address |
4010 JERRY MURPHY RD |
| City | PUEBLO |
| State | CO |
| Zip | 81001-1099 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence C Anaya | Family Medicine | University Family Medicine Center, P.C. | 4020 Jerry Murphy Rd, Pueblo, CO 81001-1045 |
| Craig K Suderman | Certified Registered Nurse Anesthetist (crna) | 4026 Jerry Murphy Rd, Pueblo, CO 81001-1045 | |
| Cheryl Wills | Family Medicine | University Family Medicine Center, P.C. | 4020 Jerry Murphy Rd, Pueblo, CO 81001-1045 |
| Gwynn Antonson | Family Medicine | University Family Medicine Center, P.C. | 4020 Jerry Murphy Rd, Pueblo, CO 81001-1045 |
| Eric R Richter | Urology | Parkview Ancillary Services Corporation | 4100 Jerry Murphy Rd, Pueblo, CO 81001-1046 |
| Benjamin W Bruestle | Certified Registered Nurse Anesthetist (crna) | Southern Colorado Crna Associates Inc | 4100 Jerry Murphy Rd, Pueblo, CO 81001-1046 |
| Alan W Bickel | Urology | Parkview Ancillary Services Corporation | 4100 Jerry Murphy Rd, Pueblo, CO 81001-1046 |
| James S Ebertowski | Urology | Parkview Ancillary Services Corporation | 4100 Jerry Murphy Rd, Pueblo, CO 81001-1046 |
| Richard L Brownrigg | Urology | Urology Consultants PC | 4100 Jerry Murphy Rd, Pueblo, CO 81001-1046 |
| Jerome Steele | Clinical Social Worker | 945 Desert Flower Blvd, Pueblo, CO 81001-1181 | |
| Find all physicians in zip 81001 | |||
| City | PUEBLO |
| Zip Code | 81001 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | PUEBLO + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Leslie G Frederiksen.
| 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.