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MELANIE C FREDERICK
NPI 1407882178
Family Medicine in Shreveport, LA

Active since June 24, 2006
2508 BERT KOUNS LOOP, SUITE 103, SHREVEPORT, LA 71118(318) 687-5277(318) 687-5386 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Melanie C Frederick NPPES

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

MELANIE C FREDERICK (NPI 1407882178) is a healthcare organization registered as a family medicine in Shreveport, Louisiana and active in the NPI registry since June 2006. The organization lists Greg J. Gavin, Network Administrator, as its authorized official.

NPPES Registry Identity

NPI1407882178
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMELANIE C FREDERICK
Location Address2508 BERT KOUNS LOOP, SUITE 103Shreveport, LA 71118-3133
Mailing Address2508 Bert Kouns Loop, Suite 103Shreveport, LA 71118-3133 · (318) 687-5277 · Fax (318) 687-5386
Phone(318) 687-5277
Fax(318) 687-5386
Organization SubpartNo
Authorized OfficialGreg J. GavinNetwork Administrator · (318) 687-5277
Enumeration DateJune 24, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1407882178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2508 BERT KOUNS LOOP, Shreveport, LA 71118
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

EDDIE D JOHNSON MD & WILLIS-KNIGHTON MEDICAL CENTER
Family Medicine
2508 BERT KOUNS LOOP, SUITE 102
SHREVEPORT, LA 71118
Caddo Parish (318) 671-1291
GAYLON DAIGLE M.D.
Obstetrics & Gynecology
2508 BERT KOUNS LOOP, SUITE 207
SHREVEPORT, LA 71118
Caddo Parish (318) 212-5343
WK SHREVEPORT CENTER FOR GERIATRIC HEALTH
Psychiatry & Neurology (Geriatric Psychiatry)
2508 BERT KOUNS LOOP, SUITE 303
SHREVEPORT, LA 71118
Caddo Parish (318) 212-5850
O ALLEN GERMAN MD
Obstetrics & Gynecology
2508 BERT KOUNS LOOP, SUITE 101
SHREVEPORT, LA 71118
Caddo Parish (318) 688-6090
WK WOMENS HEALTH CLINIC
Obstetrics & Gynecology
2508 BERT KOUNS LOOP, SUITE 201
SHREVEPORT, LA 71118
Caddo Parish (318) 688-8804
DR. CHARLES GODFRIED OTU-NYARKO M.D
Pediatrics (Pediatric Gastroenterology)
2508 BERT KOUNS LOOP, SUITE 101
SHREVEPORT, LA 71118
Caddo Parish (318) 212-5858
EDDIE D. JOHNSON MD
Family Medicine
2508 BERT KOUNS LOOP, SUITE 102
SHREVEPORT, LA 71118
Caddo Parish (318) 671-1291
KRISTY L. BRAUD MD
Family Medicine
2508 BERT KOUNS LOOP, SUITE 103
SHREVEPORT, LA 71118
Caddo Parish (318) 687-5277

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melanie C Frederick's NPI number?

The NPI number for Melanie C Frederick is 1407882178. It was assigned to this organization in the NPPES registry on June 24, 2006.

Where is Melanie C Frederick located?

Melanie C Frederick is located at 2508 Bert Kouns Loop Suite 103, Shreveport, LA 71118. The listed phone number is (318) 687-5277.

What is Melanie C Frederick's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Melanie C Frederick was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.