JOHN J FREDERICK D.O. NPI 1265469332

NPI Information

  • NPI: 1265469332
  • Provider Name: JOHN J FREDERICK, D.O.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • Address: 3346 LENNON RD
    SUITE 2
    FLINT, MI
    ZIP 48507
  • Phone: (810) 732-1919

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NPI Details

John J Frederick, D.O. is a diagnostic radiology radiology in Flint, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. John J Frederick, D.O. NPI is 1265469332. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3346 LENNON RD
SUITE 2
FLINT, MI
ZIP 48507-082
Phone: (810) 732-1919
Fax: (810) 732-3740

The enumeration date for this NPI number is 6/26/2006 and was last updated on 8/23/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology5101007568MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F07751MEDICARE UPIN
20M32800008MEDICARE PINMICHIGAN
3300075605OTHERMICHIGANRAILROAD MEDICARE
43321207MEDICAIDMICHIGAN
5310B510660OTHERMICHIGANBCBSM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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