Mr. Fred Henry Rodriguez Iii

MD | Pediatric Cardiology | Male

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Complete Profile:

Mr. Fred Henry Rodriguez Iii basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Mr. Fred Henry Rodriguez Iii
Credential :	MD
Gender :	Male

Business Address:

Mr. Fred Henry Rodriguez Iii address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1405 Clifton Rd Ne Atlanta, GA, 30322-5510 United States
Phone Number :	404-256-2593
Fax Number :	770-488-9408

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1235336538
NPI Entity Type :	Individual
First Enrolment Date :	29 Jun, 2007
Last Updated On :	25 Jan, 2021

Medicare Participation:

Mr. Fred Henry Rodriguez Iii participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	5991885865
Medicare Enrollment ID :	I20121003000502
Primary Specialty :	Pediatric Medicine
Medical School :	Louisiana State University School Of Medicine In New Orleans
Graduation Year :	2004
Accepts Medicare?	Yes. Mr. Fred Henry Rodriguez Iii accepts medicare insurance.

Group Practice Association:

Mr. Fred Henry Rodriguez Iii is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Mr. Fred Henry Rodriguez Iii is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
The Emory Clinic, Inc	8820901408	2646	1365 Clifton Rd Ne Atlanta, GA - 303221013 Ph: 4047787525	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Fred Henry Rodriguez Iii are as mentioned. Primary taxonomy code for Mr. Fred Henry Rodriguez Iii, MD is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	Yes	068291	GA
207RA0002X	Internal Medicine Adult Congenital Heart Disease	No	68291	GA

Legacy Identifiers:

Other legacy medical identifiers of Mr. Fred Henry Rodriguez Iii such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
1078373	MEDICAID	LA
220263201	MEDICAID	TX

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	2835 Brandywine Rd, Suite 300 Atlanta, GA, 30341-5510 United States
Phone Number :	404-256-2593
Fax Number :	770-488-9408

Business Location:

Patients can refer following map for directions to Mr. Fred Henry Rodriguez Iii practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.