Kirt Frederickson (NPI# 1144218819, PAC ID# 6608818166) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1144218819 |
| PAC ID by PECOS | 6608818166 |
| Professional Enrollment ID | I20050525000016 |
| Full Name | Kirt Frederickson |
| Organization Legal Name | DANBURY RADIOLOGICAL ASSOCIATES, PC |
| Address |
24 Hospital Ave Danbury CT 06810-6099 |
| Phone Number | 2037397532 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1996 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2264408533 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070033 | DANBURY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2 Riverview Dr, Suite 104, Danbury, CT 06810-6268 | 2034263002 | SPECIALTY IMAGING ASSOCIATES LLC |
| 24 Hospital Ave, Danbury, CT 06810-6099 | 2037397532 | DANBURY RADIOLOGICAL ASSOCIATES, PC |
| Organization Legal Name | DANBURY RADIOLOGICAL ASSOCIATES, PC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam Welber | Diagnostic Radiology | Danbury Radiological Associates, PC | 24 Hospital Ave, Danbury, CT 06810-6099 |
| Lucille Soldano | Diagnostic Radiology | Danbury Radiological Associates, PC | 21 Elm St, New Milford, CT 06776-2915 |
| Thorsten L Krebs | Diagnostic Radiology | Danbury Radiological Associates, PC | 21 Elm St, New Milford, CT 06776-2915 |
| Michael Hollander | Diagnostic Radiology | Danbury Radiological Associates, PC | 24 Hospital Ave, Danbury, CT 06810-6099 |
| Seema Prakash Bakhru | Diagnostic Radiology | Danbury Radiological Associates, PC | 24 Hospital Ave, Danbury, CT 06810-6099 |
| Todd J Everett | Diagnostic Radiology | Danbury Radiological Associates, PC | 24 Hospital Ave, Danbury, CT 06810-6099 |
| Richard D Glisson | Diagnostic Radiology | Danbury Radiological Associates, PC | 21 Elm St, New Milford, CT 06776-2915 |
| Francis T Flaherty | Diagnostic Radiology | Danbury Radiological Associates, PC | 21 Elm St, New Milford, CT 06776-2915 |
| Jill A Duggan | Physician Assistant | Danbury Radiological Associates, PC | 24 Hospital Ave, Danbury, CT 06810-6099 |
| Neal D Barkoff | Diagnostic Radiology | Danbury Radiological Associates, PC | 21 Elm St, New Milford, CT 06776-2915 |
| Street Address |
24 HOSPITAL AVE |
| City | DANBURY |
| State | CT |
| Zip | 06810-6099 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary E Blackman | Internal Medicine | Western Connecticut Medical Group Inc | 24 Hospital Ave, Danbury, CT 06810-6099 |
| David A Weinshel | Internal Medicine | Western Connecticut Medical Group Inc | 24 Hospital Ave, Danbury, CT 06810-6099 |
| Daniel E Kleiner | General Surgery | Western Connecticut Medical Group Inc | 24 Hospital Ave, Danbury, CT 06810-6099 |
| Olubunmi Akinbajo | Anesthesiology | Western Connecticut Medical Group Inc | 24 Hospital Ave, Danbury, CT 06810-6099 |
| Mandy S Greenberg | Surgical Oncology | Western Connecticut Medical Group Inc | 24 Hospital Ave, Danbury, CT 06810-6099 |
| Michael Asare | Physician Assistant | Western Connecticut Medical Group Inc | 24 Hospital Ave, Danbury, CT 06810-6099 |
| Deanna L Wolff | Physician Assistant | 24 Hospital Ave, Danbury, CT 06810-6099 | |
| Maria Cutrali | Nurse Practitioner | Western Connecticut Medical Group Inc | 24 Hospital Ave, Danbury, CT 06810-6099 |
| Robert A Greco | Physician Assistant | Western Connecticut Medical Group Inc | 24 Hospital Ave, Danbury, CT 06810-6099 |
| Dean Rivers | Physician Assistant | Western Connecticut Medical Group Inc | 24 Hospital Ave, Danbury, CT 06810-6099 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph J Moreira | Neurology | 24 Danbury Ave, Danbury, CT 06810 | |
| Michael Baroody | Plastic and Reconstructive Surgery | 51 -53 Kenosia Ave, Suite 201, Danbury, CT 06810-2301 | |
| Amanda G Madkour | Physician Assistant | Urology Associates of Danbury, PC | 51 -53 Kenosia Ave, Danbury, CT 06810-2304 |
| Diane St Pierre | Physician Assistant | Urology Associates of Danbury, PC | 51 -53 Kenosia Ave, Danbury, CT 06810-2304 |
| Edward M Beck | Urology | Urology Associates of Danbury, PC | 51 -53 Kenosia Ave, Danbury, CT 06810-2304 |
| John J Bruno | Urology | Urology Associates of Danbury, PC | 51 -53 Kenosia Ave, Danbury, CT 06810-2304 |
| Lin Li | Pathology | Urology Associates of Danbury, PC | 51 -53 Kenosia Ave, Danbury, CT 06810-2304 |
| Jeffrey I Gorelick | Urology | Urology Associates of Danbury, PC | 51 -53 Kenosia Ave, Danbury, CT 06810-2304 |
| Guy J Manetti | Urology | Urology Associates of Danbury, PC | 51 -53 Kenosia Ave, Danbury, CT 06810-2304 |
| Andrea H Russo | Obstetrics/gynecology | Urology Associates of Danbury, PC | 51 -53 Kenosia Ave, Danbury, CT 06810-2304 |
| Find all physicians in zip 06810 | |||
| City | DANBURY |
| Zip Code | 06810 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | DANBURY + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Kirt 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.