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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

PETER D FREDERICKS, MD
175 S UNION BLVD STE 300
COLORADO SPRINGS, CO80910-3126
 Medical school:
UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated 2007

 Phone: 719-365-1950
 Fax: 719-365-1951
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PETER D FREDERICKS · (Male)

NPI # 1003010919
Status Active
Credentials MD
Entity Individual
Enumeration date 06/13/2007
Last updated 05/06/2016 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CO License # FF3091573
  • CO Medicaid 54988764
Hospital affiliation(s)
  • MEMORIAL HOSPITAL CENTRAL - (Acute Care)
    1400 E BOULDER ST
    COLORADO SPRINGS, CO 80909
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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