Frederick Reconstructive Services LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

FREDERICK RECONSTRUCTIVE SERVICES LLC

Practice address

5205 Frederick St
Savannah, GA 31405-4500

Phone

(631) 827-8159

NPI assigned

Mar 10, 2016

Organization subpart

No

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

Authorized official

Name

Mathew James

Title

Billing Manager

Phone

(631) 827-8159

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1700247202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 FREDERICK ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054500",
            "telephone_number": "631-827-8159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 FREDERICK ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054500",
            "telephone_number": "631-827-8159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK RECONSTRUCTIVE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "631-827-8159"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrice Shanae Frazier, LPC
• Ryan Raymond Delane Frazier, APRN
• Tajah Frazier, RBT
• Whitley L Frazier, LCSW
• Frederic C. Spector DPM PC
• Freedom Mobility Center, Inc.
• Freedom Pathology LLC
• Ashley Freeman
• Caroline Kaufman Freeman, OD
• Carson Freeman

• Plastic Surgery Physician in Savannah, GA
• Providers in Savannah, GA by specialty
• Plastic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.