FREDRICK NEWELL SOUTHERN M.D. – NPI #1154381333
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Health Care Provider Taxonomy Code for Surgery

FREDRICK SOUTHERN is a surgeon located in VIRGINIA BEACH, VA. NPPES has assigned the NPI number 1154381333 to FREDRICK SOUTHERN on March 23, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 7 years ago on Apr 08, 2019. 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 FREDRICK SOUTHERN below.

NPI Profile for
FREDRICK N. SOUTHERN

NPI Number
1154381333
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
FREDRICK N. SOUTHERN
Professional Name: FREDRICK NEWELL SOUTHERN
Credentials
M.D.
Primary location
5589 GREENWICH RD STE 100
VIRGINIA BEACH, VA 23462
Phone: (757) 437-2882 Fax: (757) 502-8800
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
2086S0129X
- Surgery / Vascular Surgery (Primary)		 VA 0101044423

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

Education
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL) - Graduated 1987
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
FREDRICK SOUTHERN is affiliated with the following medical group(s):
  • HOSPITAL
    • CHESAPEAKE GENERAL HOSPITAL
      736 BATTLEFIELD BLVD, NORTH
      CHESAPEAKE, VA 23320
    • SENTARA LEIGH HOSPITAL
      830 KEMPSVILLE ROAD
      NORFOLK, VA 23502
    • SENTARA NORFOLK GENERAL HOSPITAL
      600 GRESHAM DR
      NORFOLK, VA 23507
    • SENTARA PRINCESS ANNE HOSPITAL
      2025 GLENN MITCHELL DRIVE
      VIRGINIA BEACH, VA 23456
    • SENTARA VIRGINIA BEACH GENERAL HOSPITAL
      1060 FIRST COLONIAL ROAD
      VIRGINIA BEACH, VA 23454

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