Jonathan Frederick, MD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

AL28212 Issued in AL

Practice address

398 Ashe Blvd
Sheffield, AL 35660-1729

Phone

(256) 383-1499

NPI assigned

Jan 4, 2007

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

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral Surgery

Education

Vanderbilt University School of Medicine, 2006

Medicare assignment

May accept Medicare assignment

Group practices

Oral and Facial Surgery of the Shoals, L.L.C.Group PAC ID 9638199433, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Helen Keller Hospital Hospital, Sheffield, AL, CCN 010019

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• Oral & Facial Surgery of the Shoals, L.L.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Sheffield, AL
  • NPI 1083662290
  Medicare reassignment Care Compare group NPD
• Ofs-Shoals, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Florence, AL
  • NPI 1609649177
  Medicare reassignment NPD
• Florence Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Florence, AL
  • NPI 1134359664
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HH Health System - Shoals LLC

  • General Acute Care Hospital
  • Sheffield, AL
  • NPI 1508952235
  Care Compare affiliation

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1346397239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 ASHE BLVD",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356601729",
            "telephone_number": "256-383-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 ASHE BLVD",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356601729",
            "telephone_number": "256-383-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "JONATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "AL",
            "license": "AL28212",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AL",
            "license": "AL5271",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven A Ferzoco, M.D.
• Franklin Health LLC
• Joseph Heath Franks, CRNP
• Russell McNeil Fraser, DMD
• Jeffrey W Frazee, RPH
• Stephen Brent Fritts
• Angela Gann, CRNP
• Filomeno C. Gapultos Jr., M.D.
• Alyssa Garner, CRNP
• Christopher Parker Gay, D.O..

• Oral & Maxillofacial Surgery (D.M.D.) in Sheffield, AL
• Providers in Sheffield, AL by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.