Fred Tecklenburg
MD | Pediatric Critical Care Medicine | Male
Fred Tecklenburg, MD is a Charleston, South Carolina based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Fred Tecklenburg is
171 Ashley Ave, Charleston, South Carolina - 29425-0001. He can be contacted on phone at
843-792-1414.
Fred Tecklenburg is a sole proprietor of his business.
NPI number (Unique professional ID) for Fred Tecklenburg is
1750499794 which was assigned by NPPES on 29 Aug, 2006 and it was last updated on 13 Nov, 2020.
Fred Tecklenburg license number is
12515 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in South Carolina.
Fred Tecklenburg is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Fred Tecklenburg basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Fred Tecklenburg |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Fred Tecklenburg 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 : | 171 Ashley Ave
Charleston, SC, 29425-0001
United States |
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| Phone Number : | 843-792-1414 |
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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 : | 1750499794 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 29 Aug, 2006 |
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| Last Updated On : | 13 Nov, 2020 |
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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 Fred Tecklenburg are as mentioned. Primary taxonomy code for Fred Tecklenburg, MD is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | 12515 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Fred Tecklenburg such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 125153 | MEDICAID | SC | |
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) | ftecklenburg20512@direct.musc.edu
| No affiliation | DIRECT
Direct
|
| 171 ASHLEY AVE,
CHARLESTON, SC, 29425-0001
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 : | Po Box 751461
Charlotte, NC, 28275-1461
United States |
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| Phone Number : | 843-792-6200 |
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Business Location:
Patients can refer following map for directions to
Fred Tecklenburg practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.