National Provider Identifier Database

NICHOLAS W FREDERICKSON, MD – NPI #1154640225
Gastroenterology

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.


Contact Information

NICHOLAS W FREDERICKSON, MD
901 PATIENTS FIRST DRIVE SUITE 3300
WASHINGTON, MO63090
Phone: 636-239-7344
Fax: 636-239-9436
Website:
Specialty Taxonomy Code
* Gastroenterology 207RG0100X
Internal Medicine 207R00000X

* Indicates primary specialty

NPI Profile & details for NICHOLAS W FREDERICKSON

NPI Number 1154640225
Credentials MD
Entity Individual
Enumeration date 05/27/2010
Last updated 01/14/2020 - About 6 years ago
Sole proprietor1 No
Identifiers
  • IA License #: R-8906
  • MO License #: 2016012330
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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