Individual
JOHN THOMAS FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 5TH AVE STE 2010, SEATTLE, WA 98101-3100
(206) 778-5584
Mailing address
1200 5TH AVE STE 2010, SEATTLE, WA 98101-3100
(206) 778-5584
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00036632
WA
2084P0805X
Geriatric Psychiatry Physician
MD00036632
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0163635
VM LABOR AND INDUSTRIES #
WA
01
—
3015FR
VM BLUE SHIELD #
WA
05
—
8286858
—
WA
01
—
8883129
MEDICARE - SNO CO
WA
01
—
P00444827
VM RAILROAD MC #
WA
01
—
US7536792
VM AETNA PCP PIN
WA
Enumeration date
02/15/2007
Last updated
02/20/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us