Jon Randall Frederick, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

0101242098 Issued in VA

Practice address

8639 Mayland Dr Ste 102
Richmond, VA 23294-4752

Phone

(804) 993-3039

Fax

(804) 447-1953

NPI assigned

Oct 18, 2006

Last updated

Oct 25, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Emergency MedicineAlso: General Practice

Education

Virginia Commonwealth University, School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alchemy PLLCGroup PAC ID 2961831516, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alchemy PLLC

  dba Alchemy Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Henrico, VA
  • NPI 1750923173
  Medicare reassignment Care Compare group Authorized official
• American Current Care PA

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1003090879

  DC

  Medicare reassignment NPD
• American Current Care PA

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1780868547

  VA

  Medicare reassignment NPD
• Ketamine Rva

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Henrico, VA
  • NPI 1063234615
  NPD Authorized official
• American Current Care, PA.

  • Urgent Care Clinic/Center
  • Alexandria, VA
  • NPI 1477736528
  NPD
• American Current Care P.a.

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Beaumont, TX
  • NPI 1376356568
  NPD
• Emergency Coverage Services, PC

  • Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1053351593
  NPD (past)
• Rvlwf Michigan PLLC

  • Multi-Specialty Clinic/Center
  • Novi, MI
  • NPI 1891453684
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1003997800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8639 MAYLAND DR STE 102",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944752",
            "telephone_number": "804-993-3039",
            "fax_number": "804-447-1953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8260 Atlee Rd",
            "address_2": "Emergency Dept",
            "address_purpose": "LOCATION",
            "city": "Mechanicsville",
            "state": "VA",
            "postal_code": "23116",
            "country_code": "US",
            "telephone_number": "804-764-6300",
            "fax_number": "804-764-6562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "JON",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101242098",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101242098",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12723963",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Jo Frazer, NURSE PRACTITIONER
• James Edward Frazier II
• Caroline Frecker
• Fred a. Knaysi, D.D.S., P.C.
• Fred F Kennett DDS PC
• Katie Frederick
• Louis A Frederick Jr., M.D.
• Steven Frediani II, DO
• Alan David Freedman, ATC
• Freedom Respiratory, Inc.

• Emergency Medicine Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Emergency Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.