Provider Demographics
NPI:1326046954
Name:HELLER, FREDERICKA SAWYER (MD)
Entity Type:Individual
Prefix:DR
First Name:FREDERICKA
Middle Name:SAWYER
Last Name:HELLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 KENHORST BLVD
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19611-1716
Mailing Address - Country:US
Mailing Address - Phone:610-775-7133
Mailing Address - Fax:610-775-8658
Practice Address - Street 1:530 KENHORST BLVD
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19611-1716
Practice Address - Country:US
Practice Address - Phone:610-775-7133
Practice Address - Fax:610-775-8658
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2011-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD025930E207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01162702OtherCAPITAL BLUE CROSS
PA1465799OtherKEYSTONE HEALTH PLAN CEN
PA103749OtherHIGHMARK BLUESHIELD
PA1465799OtherKEYSTONE HEALTH PLAN CEN
PA015134Medicare ID - Type Unspecified