JONATHAN FREDERICK MD
NPI 1346397239
Oral & Maxillofacial Surgery in Sheffield, AL

Q: What is Jonathan Frederick's NPI number?

The NPI number for Jonathan Frederick is 1346397239. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Q: What is Jonathan Frederick's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Active since January 04, 2007PECOS Enrolled

398 ASHE BLVD, SHEFFIELD, AL 35660(256) 383-1499 Get Directions Write a Review

NPPES record last updated: November 15, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jonathan Frederick Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN FREDERICK MD (NPI 1346397239) is an individual oral & maxillofacial surgery provider in Sheffield, Alabama, licensed in Alabama (AL28212) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (2006).

NPPES Registry Identity

NPI1346397239

Entity TypeIndividualMale

Primary Taxonomy204E00000X

Provider Legal NameJONATHAN FREDERICKCredential: MD

Location Address398 ASHE BLVDSheffield, AL 35660-1729

Mailing Address398 Ashe BlvdSheffield, AL 35660-1729 · (256) 383-1499

Phone(256) 383-1499

Sole ProprietorNo

Medical School CMSVanderbilt University School Of MedicineGraduated 2006

Enumeration DateJanuary 4, 2007

Last NPPES UpdateNovember 15, 2011

✔ NPI 1346397239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

License✔ Licensed in AL · AL28212

Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License AL5271 (AL)

398 ASHE BLVD, Sheffield, AL 35660

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Frederick Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284764408

PECOS Enrollment IDI20100615000761

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ORAL & FACIAL SURGERY OF THE SHOALS, L.L.C.

Dentist (Oral and Maxillofacial Surgery)