Dr Sean Adrian Dwight Frederick, MD | |
6505 Market St, Boardman, OH 44512-3457 | |
(330) 480-2363 | |
(330) 480-6359 |
Full Name | Dr Sean Adrian Dwight Frederick |
---|---|
Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 6505 Market St, Boardman, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518048834 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 35.086341 (Ohio) | Primary |
Entity Name | University Of Pittsburgh Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619935004 PECOS PAC ID: 8729990239 Enrollment ID: O20040308000883 |
Mailing Address | Practice Location Address |
---|---|
Dr Sean Adrian Dwight Frederick, MD 6505 Market St, Boardman, OH 44512-3457 Ph: (330) 480-2363 | Dr Sean Adrian Dwight Frederick, MD 6505 Market St, Boardman, OH 44512-3457 Ph: (330) 480-2363 |
Dr. Mary Joanna Mcintyre, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6505 Market St, Boardman, OH 44512 Phone: 330-746-9200 Fax: 330-746-9211 | |
Jacqueline Lee Lickliter, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6505 Market St Ste 2100, Boardman, OH 44512 Phone: 330-746-8040 Fax: 330-746-8025 | |
Deanna Marie Bellville, PPCNP-BC Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6505 Market St Bldg A1, Boardman, OH 44512 Phone: 330-746-8040 Fax: 330-746-8025 | |
Dr. Heather Danielle Strawbridge, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 8423 Market St Ste 300, Boardman, OH 44512 Phone: 330-543-8885 Fax: 330-543-8890 | |
Hi Moon Ahn, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6505 Market St, Boardman, OH 44512 Phone: 330-884-2425 | |
Dr. Stacy Lynn Generalovich, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6505 Market St Ste 2100, Boardman, OH 44512 Phone: 330-746-8040 Fax: 330-746-8025 | |
Robert Peter Vandekappelle Jr., M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 6505 Market St Fl 2, Boardman, OH 44512 Phone: 330-629-6085 Fax: 330-629-7620 |