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Deactivated NPI 1811143340 Deactivated / Inactive NPI Male Practitioner

Phil Fredrich

Case Manager/Care Coordinator • El Dorado, AR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Phil Fredrich has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 15, 2008
NPI Deactivation Date December 26, 2018
Total Practice Duration ~10 Years of Practice (2008 – 2018)

Professional Overview & Biography Verified Profile Summary

Phil Fredrich was a registered Case Manager/Care Coordinator practicing in El Dorado, AR. Throughout an active medical career spanning 10 years, Phil Fredrich provided care at the practice location at 1812 LORENE ST until profile deactivation on 2018-12-26.

Practice Location & Contact Primary Location

Practice Address

1812 Lorene St

El Dorado, AR 717308129

Telephone 8708638133
Fax 8708634111
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in El Dorado, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
59 Specialists

Practicing in El Dorado, AR (11561 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Beverly Griggs

Case Manager/Care Coordinator

NPI 1003062506
James Lewis

Case Manager/Care Coordinator

NPI 1073769501
Billy Pittman

Case Manager/Care Coordinator

NPI 1093961518
Janis Lacy

Case Manager/Care Coordinator

NPI 1497901037
Cathy Havard

Registered Nurse

NPI 1538315064
Debra Plummer

Case Manager/Care Coordinator

NPI 1699921122

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 26, 2018

Record deactivated on December 26, 2018

NPI Profile Active August 15, 2008

NPI status registered as active in NPPES database

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Updated Practice Location August 15, 2008

Registered at 1812 LORENE ST, EL DORADO, AR 717308129 (Tel: 8708638133)

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Updated Business Mailing Address August 15, 2008

Registered at 715 N COLLEGE AVE, EL DORADO, AR 717304403 (Tel: 8708627921)

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Provider Name / Credentials Updated August 15, 2008

Recorded as PHIL FREDRICH

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2008

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration August 15, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811143340
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2008
Last Update: August 15, 2008
Deactivation Date: December 26, 2018

Mailing Address

715 N College Ave

El Dorado, AR 717304403

Phone: 8708627921

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.