Mr. Fred Henry Rodriguez Iii
MD | Pediatric Cardiology | Male
Mr. Fred Henry Rodriguez Iii, MD is a Atlanta, Georgia based Pediatric doctor with medical specialization in
Pediatric Cardiology.
Current practice location of Mr. Fred Henry Rodriguez Iii is
1405 Clifton Rd Ne, Atlanta, Georgia - 30322-5510. He can be contacted on phone at
404-256-2593 and fax number 770-488-9408.
Mr. Fred Henry Rodriguez Iii is a sole proprietor of his business.
NPI number (Unique professional ID) for Mr. Fred Henry Rodriguez Iii is
1235336538 which was assigned by NPPES on 29 Jun, 2007 and it was last updated on 25 Jan, 2021.
Mr. Fred Henry Rodriguez Iii license number is
068291 for Pediatrics Pediatric Cardiology (2080P0202X) in Georgia.
Mr. Fred Henry Rodriguez Iii provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
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).
Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
---|
DIRECT (Direct Messaging Address) | sibley@choa.gadirect.com
Sibley | | HIE Health Information Exchange (HIE)
| OTHER Other PHI | 1405 CLIFTON RD NE, ATLANTA, GA, 30322-5510 United States |
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.