Lori A Fredrick (NPI# 1225243207, PAC ID# 3476618661) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1225243207 |
| PAC ID by PECOS | 3476618661 |
| Professional Enrollment ID | I20090223000621 |
| Full Name | Lori A Fredrick |
| Organization Legal Name | BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA - OU PHYSICIANS |
| Address |
14101 N Eastern Ave Ou Physicians At Edmond Edmond OK 73013-1039 |
| Phone Number | 4053590919 |
| Gender | F |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2860304334 |
| Number of Group Practice Members | 738 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370093 | OU MEDICAL CENTER |
| 370037 | ST ANTHONY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 14101 N Eastern Ave, Ou Physicians At Edmond, Edmond, OK 73013-1039 | 4053590919 | BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA - OU PHYSICIANS |
| Organization Legal Name | BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA - OU PHYSICIANS |
| Physicians | 859 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin B Gerold | Anesthesiology | Board of Regents of The University of Oklahoma - Ou Physicians | 2600 Ne 63rd St, Suite 11, Oklahoma City, OK 73111-8301 |
| Tana Chongsuwat | Family Medicine | Board of Regents of The University of Oklahoma - Ou Physicians | 900 Ne 10th St, Oklahoma City, OK 73104-5420 |
| Paul Jason Bradley | Certified Registered Nurse Anesthetist (crna) | Board of Regents of The University of Oklahoma - Ou Physicians | 920 Stanton L Young Blvd, Oklahoma City, OK 73104-5036 |
| Jason Matthew Hirshburg | Dermatology | Board of Regents of The University of Oklahoma - Ou Physicians | 619 Ne13th St, Oklahoma City, OK 73104-5001 |
| Abhijeet Pal | Pediatric Medicine | Board of Regents of The University of Oklahoma - Ou Physicians | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 |
| Stefanie Bryant | Obstetrics/gynecology | Board of Regents of The University of Oklahoma - Ou Physicians | 1122 Ne13th St, Ori150, Oklahoma City, OK 73117-1039 |
| Stephanie Bates | Pathology | Board of Regents of The University of Oklahoma - Ou Physicians | 700 Ne 13th St, Trauma Center, Oklahoma City, OK 73104-5004 |
| Susanna Ulahannan | Medical Oncology | Board of Regents of The University of Oklahoma - Ou Physicians | 800 Ne 10th St, Oklahoma City, OK 73104-5418 |
| Elizabeth Hile | Physical Therapy | Board of Regents of The University of Oklahoma - Ou Physicians | 840 Research Pkwy, Suite 200, Oklahoma City, OK 73104-3637 |
| Michael O Dell | Certified Registered Nurse Anesthetist (crna) | Board of Regents of The University of Oklahoma - Ou Physicians | 1200 Everett Dr, Oklahoma City, OK 73104-5047 |
| Street Address |
14101 N EASTERN AVE OU PHYSICIANS AT EDMOND |
| City | EDMOND |
| State | OK |
| Zip | 73013-1039 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Davey | Orthopedic Surgery | Board of Regents of The University of Oklahoma - Ou Physicians | 14101 N Eastern Ave, Ou Physicians At Edmond, Edmond, OK 73013-1039 |
| Sara Kathleen Watson | Family Medicine | Board of Regents of The University of Oklahoma - Ou Physicians | 14101 N Eastern Ave, Ou Physicians At Edmond, Edmond, OK 73013-1039 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Senthil K Raju | Family Medicine | 11824 Slash Pine Dr, Edmond, OK 73013-0462 | |
| Dinah S Cloud | Psychologist, Clinical | 929 Nw 164th St, Suite 111, Edmond, OK 73013-1002 | |
| Neadum B Odum | Chiropractic | 15100 Traditions Blvd, Suite 1, Edmond, OK 73013-1184 | |
| Ashley D Mathias | Nurse Practitioner | James Avery Rush Iv Md Pa | 15205 Traditions Lake Pkwy, Edmond, OK 73013-1198 |
| Tanya M Rennie | Nurse Practitioner | James Avery Rush Iv Md Pa | 15205 Traditions Lake Pkwy, Edmond, OK 73013-1198 |
| Michael Daniel Spieker | Nurse Practitioner | James Avery Rush Iv Md Pa | 15205 Traditions Lake Pkwy, Edmond, OK 73013-1198 |
| Amer B Nouh | Neurology | 1417 Nw 150th St, Neuro Pain Care, Edmond, OK 73013-1305 | |
| Paige C Sims | Physical Therapy | 1010 Nw 150th St, Edmond, OK 73013-1852 | |
| Brandon January | Chiropractic | 15007 Bristol Park Blvd, Edmond, OK 73013-1887 | |
| Megan M January | Chiropractic | 15009 Bristol Park Blvd, Edmond, OK 73013-1887 | |
| Find all physicians in zip 73013 | |||
| City | EDMOND |
| Zip Code | 73013 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | EDMOND + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Lori A Fredrick.
| 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.