Dr. Johanna S. Fricke --
M.D. | Developmental - Behavioral Pediatrics | Female
Dr. Johanna S. Fricke --, M.D. is a Las Vegas, Nevada based Pediatric doctor with medical specialization in
Developmental - Behavioral Pediatrics.
Current practice location of Dr. Johanna S. Fricke -- is
331 N Buffalo Dr, Suite B, Las Vegas, Nevada - 89145-0300. She can be contacted on phone at
702-877-2520 and fax number 702-877-2521.
Dr. Johanna S. Fricke -- is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Johanna S. Fricke -- is
1801874631 which was assigned by NPPES on 03 Jan, 2006 and it was last updated on 07 Mar, 2023.
Dr. Johanna S. Fricke -- license number is
3166 for Pediatrics, Developmental - Behavioral Pediatrics (2080P0006X) in Nevada.
Dr. Johanna S. Fricke -- is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Complete Profile:
Dr. Johanna S. Fricke -- basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Developmental - Behavioral Pediatrics |
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| Provider Name : | Dr. Johanna S. Fricke -- |
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| Credential : | M.D. |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Johanna S. Fricke -- 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 : | 331 N Buffalo Dr, Suite B
Las Vegas, NV, 89145-0300
United States |
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| Phone Number : | 702-877-2520 |
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| Fax Number : | 702-877-2521 |
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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 : | 1801874631 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 03 Jan, 2006 |
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| Last Updated On : | 07 Mar, 2023 |
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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 Dr. Johanna S. Fricke -- are as mentioned. Primary taxonomy code for Dr. Johanna S. Fricke --, M.D. is
2080P0006X (Pediatrics, Developmental - Behavioral Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 3166 | NV |
| 2080P0006X | Pediatrics, Developmental - Behavioral Pediatrics | Yes | 3166 | NV |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Johanna S. Fricke -- such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 002002223 | MEDICAID | NV | |
| 003102223 | MEDICARE ID-Type Unspecified | NV | NV Medicaid |
| 32876 | MEDICARE ID-Type Unspecified | NV | Medicare |
| CS09750 | Other (non-Medicare) | NV | State Pharmacy |
| H08729 | MEDICARE UPIN | NV | |
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 : | 331 N Buffalo Dr, Suite B
Las Vegas, NV, 89145-0300
United States |
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| Phone Number : | 702-877-2520 |
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| Fax Number : | 702-877-2521 |
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Business Location:
Patients can refer following map for directions to
Dr. Johanna S. Fricke -- 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.