JUSTIN A. FREDERICK MD – NPI #1750582177
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

JUSTIN FREDERICK is a radiologist located in SPOKANE, WA. NPPES has assigned the NPI number 1750582177 to JUSTIN FREDERICK on May 31, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 16 years ago on Aug 26, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JUSTIN FREDERICK below.

NPI Profile for
JUSTIN A. FREDERICK

NPI Number
1750582177
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JUSTIN A. FREDERICK
Credentials
MD
Primary location
801 S STEVENS ST
SPOKANE, WA 99204-2654
Phone: (509) 747-4455 Fax: (509) 363-7064
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
WA MD60166016

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Order Durable Medical Equipment
  • Order Power Mobility Devices
Affiliations
JUSTIN FREDERICK is affiliated with the following medical group(s):
  • HOSPITAL
    • KADLEC REGIONAL MEDICAL CENTER
      888 SWIFT BLVD
      RICHLAND, WA 99352
    • NEWPORT COMMUNITY HOSPITAL
      714 WEST PINE STREET
      NEWPORT, WA 99156
    • PROV SACRED HRT MED CTR & CHILDS HOSP.
      101 WEST 8TH AVENUE
      SPOKANE, WA 99204
    • PROVIDENCE HOLY FAMILY HOSPITAL
      5633 NORTH LIDGERWOOD
      SPOKANE, WA 99208
    • ST. PATRICK HOSPITAL
      500 W BROADWAY
      MISSOULA, MT 59806

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