Charles E. Frederick, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

26529 Issued in NC

Practice address

3625 N Elm St
Suite 110a
Greensboro, NC 27455-2604

Phone

(336) 282-4840

Fax

(336) 282-4660

NPI assigned

May 15, 2006

Last updated

Mar 15, 2010By 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 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• American Anesthesiology of North Carolina, PLLC

  • Anesthesiology Physician
  • Wilmington, NC
  • NPI 1033412267
  NPD (past)
• Greensboro Anesthesia Physicians,PC

  • Anesthesiology Physician
  • Greensboro, NC
  • NPI 1427008440
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268611200000",
    "number": "1265483275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 N ELM ST",
            "address_2": "SUITE 110A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552604",
            "telephone_number": "336-282-4840",
            "fax_number": "336-282-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 N ELM ST",
            "address_2": "SUITE 110A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552604",
            "telephone_number": "336-282-4840",
            "fax_number": "336-282-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "CHARLES",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2010-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "26529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "33741",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5764556",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8933741",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie K Frazier, CNM
• Niakesha Frazier, PMHNP-BC, FNP-C
• Fred B Lopp DDS PA
• Caitlyn Marie Fredere, RDN, LDN
• Frederick a. Lupton III MD PA
• Cherie Dawn Fredericks, OTR/L
• Corey Jordan Fredericks
• Freedme
• Freedom Healthcare
• Freedom Healthcare (Dba Alliance Urology Specialists, PA)

• Anesthesiology Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Anesthesiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.