Frederick N Fedorchak (NPI# 1184662496, PAC ID# 8729091210) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1184662496 |
| PAC ID by PECOS | 8729091210 |
| Professional Enrollment ID | I20111014000215 |
| Full Name | Frederick N Fedorchak |
| Address |
3215 Willowcreek Rd Portage IN 46368-5013 |
| Phone Number | 2197631680 |
| Gender | M |
| Graduation Year | 1983 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150034 | ST MARY MEDICAL CENTER INC |
| 150166 | PINNACLE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3215 Willowcreek Rd, Portage, IN 46368-5013 | 2197631680 |
| Street Address |
3215 WILLOWCREEK RD |
| City | PORTAGE |
| State | IN |
| Zip | 46368-5013 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Veronica Kacmar-fedorchak | Podiatry | 3215 Willowcreek Rd, Portage, IN 46368-5013 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey R Robertson | Clinical Social Worker | 6840 Prairie Run Ave, Portage, IN 46368-2665 | |
| Carol Barbara Hillmann | Clinical Psychologist | 2610 Portage Mall, Portage, IN 46368-3008 | |
| Kim Paul Cory | Optometry | 6509 Central Ave, Portage, IN 46368-3101 | |
| Scott A Cory | Ophthalmology | 6509 Central Ave, Portage, IN 46368-3101 | |
| Daniel R Dewar | Chiropractic | Dewar Chiropractic Inc. | 2686 Willowcreek Rd B, Portage, IN 46368-3550 |
| Michael A Villanueva | Chiropractic | Dewar Chiropractic Inc. | 2686 Willowcreek Rd B, Portage, IN 46368-3550 |
| Jesse T Murphy | Podiatry | Podiatric Medical Associates PC | 6289 Central Ave, Portage, IN 46368-3725 |
| David Parks | Psychologist, Clinical | 6337 Central Ave, Portage, IN 46368-3801 | |
| Jaclyn Renee Stitt | Chiropractic | 6325 Central Ave, Portage, IN 46368-3801 | |
| Shreyas Arvind Desai | Internal Medicine | Internal Medicine,geriatrics and Oncology Group, P.C. | 2640 Hamstrom Rd, Portage, IN 46368-3832 |
| Find all physicians in zip 46368 | |||
| City | PORTAGE |
| Zip Code | 46368 |
| Specialty | PODIATRY |
| City + Specialty | PORTAGE + PODIATRY |
Please comment or provide details below to improve the information on Frederick N Fedorchak.
| 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.