Jon Randall Frederick in Mechanicsville - Emergency Medicine

Jon Randall Frederick - NPI 1003997800

Jon Randall Frederick is a Emergency Medicine in Mechanicsville, Virginia. Jon Randall Frederick practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Jon Randall Frederick is 1003997800. The last update date is 2018-08-21.

Jon Randall Frederick's current location address is 8260 Atlee Rd, Mechanicsville, Virginia. You can contact this provider via phone number 8047646300 and fax number 8047646562. The mailing address for Jon Randall Frederick is 8260 Atlee Rd, Mechanicsville, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Jon Randall Frederick
Address 8260 Atlee Rd, Mechanicsville, Virginia
Phone Number 8047646300
Fax Number 8047646562
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1003997800
Provider Enumeration Date 2006-10-18
Last Updated Date 2018-08-21

Provider Mailing Address Detail

Address 8260 Atlee Rd
City Mechanicsville
State Virginia (VA)
Post Code 23116
Phone Number 8047646300
Fax Number 8047646562

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No 101242098
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
12723963 VA CAQH

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FAQs about Jon Randall Frederick

What is the unique identification code assigned to Jon Randall Frederick by the Centers for Medicare & Medicaid Services?

The Jon Randall Frederick has been issued the NPI (National Provider Identifier) 1003997800. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Jon Randall Frederick is geographically located?

The Jon Randall Frederick is physically situated at the following location: 8260 Atlee Rd, Mechanicsville, VA, 23116.

What is the area of specialization for Jon Randall Frederick, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jon Randall Frederick is Emergency Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207P00000X.

When did the Jon Randall Frederick receive its 1003997800?

The Jon Randall Frederick was issued its 1003997800 on 2006-10-18, which is the date when the organization was assigned this unique identifier.

When was the information related to Jon Randall Frederick most recently updated or refreshed?

The details pertaining to the Jon Randall Frederick, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-08-21.

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