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Deactivated NPI 1912107699 Deactivated / Inactive NPI Male Practitioner

Dr. Frederick L Roddy , MD

General Practice • North Chicago, IL

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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, Dr. Frederick Roddy has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 20, 2007
NPI Deactivation Date March 15, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Frederick Roddy, MD was a registered General Practice practicing in North Chicago, IL. Throughout an active medical career spanning 16 years, Dr. Roddy provided care at the practice location at 2834 GREEN BAY RD until profile deactivation on 2023-03-15.

Practice Location & Contact Primary Location

Practice Address

2834 Green Bay Rd

North Chicago, IL 600643057

Telephone 8476883680
Fax 8476882453

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in North Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.9 Yrs
Regional Practice Density
5 Specialists

Practicing in North Chicago, IL (355 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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License VT 042-0005842

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Colleen Murphy , MD

Obstetrics & Gynecology - Obstetrics

NPI 1275535502

Doctor of Medicine (M.D.)

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 March 15, 2023

Record deactivated on March 15, 2023

NPI Profile Active July 20, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 20, 2007

Registered at 2834 GREEN BAY RD, NORTH CHICAGO, IL 600643057 (Tel: 8476883680)

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Updated Business Mailing Address July 20, 2007

Registered at PO BOX 529, EAST MIDDLEBURY, VT 057400529 (Tel: 8476883680)

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Provider Name / Credentials Updated July 20, 2007

Recorded as FREDERICK RODDY, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2007

General Practice (License #042-0005842 in VT)

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Initial NPI Registration & Enumeration July 20, 2007

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: 1912107699
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2007
Last Update: July 20, 2007
Deactivation Date: March 15, 2023

Mailing Address

Po Box 529

East Middlebury, VT 057400529

Phone: 8476883680

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.