Dr. Jon Randall Frederick
Family Doctor Emergency Physician
8260 Atlee Rd Emergency Dept
Mechanicsville
, Virginia 23116
Dr. Jon Randall Frederick
Family Doctor Emergency Physician
8260 Atlee Rd Emergency Dept
Mechanicsville
, Virginia 23116
(800) 893-9698
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About
Features
Specialties
- Emergency Physician
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Jon Randall Frederick
- 200 Corporate Blvd
- Lafayette, LA
- Zip : 70508-3870
- Phone : (800) 893-9698
Second Address
- Dr. Jon Randall Frederick
- 8260 Atlee Rd Emergency Dept
- Mechanicsville, VA
- Zip : 23116
- Fax : (804) 764-6562
- Phone : (804) 764-6300
Reviews
FAQs
Where did Dr. Jon Randall Frederick attend graduate school?
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In what state does Dr. Jon Randall Frederick practice in?
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Is Dr. Jon Randall Frederick a sole practitioner?
Is Dr. Jon Randall Frederick accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 0101242098 | VA |
| N | 207Q00000X | Family Doctor | 0101242098 | VA |
National Provider Identifier
| NPI | 1003997800 |
|---|---|
| Provider Name | Dr. Jon Randall Frederick |
| First Address | Lafayette, LA 70508-3870 |
| Second Address | Mechanicsville, VA 23116 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/10/2006 |
| Last Update Date | 21/08/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 12723963 | CAQH (01) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.