Frederick Harold (NPI# 1629484902, PAC ID# 9638492341) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1629484902 |
| PAC ID by PECOS | 9638492341 |
| Professional Enrollment ID | I20180907002637 |
| Full Name | Frederick Harold |
| Organization Legal Name | SJC MEDICAL GROUP, INC |
| Address |
10055 Ford Ave Suite 3a Richmond Hill GA 31324-3972 |
| Phone Number | 9128199601 |
| Gender | M |
| Medical School | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7719978105 |
| Number of Group Practice Members | 50 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110024 | CANDLER HOSPITAL |
| 110043 | ST JOSEPH'S HOSPITAL - SAVANNAH |
| Address | Phone | Organization |
|---|---|---|
| 10055 Ford Ave, Suite 3a, Richmond Hill, GA 31324-3972 | 9128199601 | SJC MEDICAL GROUP, INC |
| 11705 Mercy Blvd, Savannah, GA 31419-1711 | 9128194100 | SJC MEDICAL GROUP, INC |
| Organization Legal Name | SJC MEDICAL GROUP, INC |
| Physicians | 53 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harley Randall Hendrix | Family Medicine | Sjc Medical Group, Inc | 159 W Railroad St, Pembroke, GA 31321-0190 |
| Matthew G Marshall | Neurology | Sjc Medical Group, Inc | 410 Mall Blvd E, Savannah, GA 31406-4869 |
| Aaron Webb | Nurse Practitioner | Sjc Medical Group, Inc | 423 S Columbia Ave, Rincon, GA 31326-9080 |
| David Orlando Caraballo | Physician Assistant | Sjc Medical Group, Inc | 10 Oak Forest Rd C, Bluffton, SC 29910-4974 |
| Keith A Rouse Sr. | Podiatry | Sjc Medical Group, Inc | 310 Eisenhower Dr, Bldg 7a, Savannah, GA 31406-2688 |
| Russell William Lake | Family Medicine | Sjc Medical Group, Inc | 105 Grand Central Blvd, Suite 107, Pooler, GA 31322-4148 |
| Jose M Rendon-garcia | Internal Medicine | Sjc Medical Group, Inc | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Marianne M Fleming | Internal Medicine | Sjc Medical Group, Inc | 836 E, 65th Suite 30, Savannah, GA 31405 |
| Richard J Barrett | Internal Medicine | Sjc Medical Group, Inc | 102 Bryan Woods Rd, Savannah, GA 31410-1225 |
| Frederic C Spector | Podiatry | Sjc Medical Group, Inc | 352 Commercial Dr, Savannah, GA 31406-3616 |
| Street Address |
10055 FORD AVE SUITE 3A |
| City | RICHMOND HILL |
| State | GA |
| Zip | 31324-3972 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wilfredo Negron | Obstetrics/gynecology | St. Joseph's/candler Ob/gyn Practice LLC | 10055 Ford Ave, Suite 3a, Richmond Hill, GA 31324-3972 |
| Larry N Elam | Pediatric Medicine | Privia Medical Group of Georgia LLC | 10055 Ford Ave, Richmond Hill, GA 31324-3974 |
| Keith M Seibert | Pediatric Medicine | Southcoast Medical Group LLC | 10055 Ford Ave, 4a, Richmond Hill, GA 31324-3974 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Kaye Brandenburg | Optometry | Low Country Eye Associates, PC | Hwy 144 Ford Plaza, Suite J, Richmond Hill, GA 31324 |
| Adam W Harris Sr. | Psychiatry | 2479 Hwy 17 S, Suite B, Richmond Hill, GA 31324 | |
| Rinku Patel | Optometry | Low Country Eye Associates, PC | Hwy 144 Ford Plaza, Suite J, Richmond Hill, GA 31324 |
| Codi Jones | Nurse Practitioner | Savannah Primary Care Associates LLC | 3780 Us Hwy 17, Richmond Hill, GA 31324-3378 |
| Rana E Hildebrandt | Nurse Practitioner | Savannah Multispecialty Associates LLC | 3780 Us Hwy 17, Richmond Hill, GA 31324-3378 |
| Thomas C. Garner | Internal Medicine | Savannah Primary Care Associates LLC | 3780 Us Hwy 17, Richmond Hill, GA 31324-3378 |
| Billy D Preuninger | Obstetrics/gynecology | Savannah Multispecialty Associates LLC | 3780 Us Hwy 17, Richmond Hill, GA 31324-3378 |
| Ashleigh S Russell | Nurse Practitioner | Minute Clinic LLC | 2324 Us Hwy 17, Richmond, GA 31324-3398 |
| Woodrow T Kelly | Chiropractic | Kelly Chiropractic PC | 9390 Ford Ave, Suite 2, Richmond Hill, GA 31324-3637 |
| William R Marshall Iii | Nurse Practitioner | Sidney P Smith Md PC | 9665 Ford Ave, Richmond Hill, GA 31324-3652 |
| Find all physicians in zip 31324 | |||
| City | RICHMOND HILL |
| Zip Code | 31324 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | RICHMOND HILL + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Frederick Harold.
| 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.