Dr. Frederick A Lodge, M.D.
Anesthesiology in Ukiah, CA. Individual provider (NPI-1).
NPI number1790770428
StatusActive
Last updated in NPPESJul 30, 2010
Details
- NPI
- 1790770428
- Entity type
- Individual (NPI-1)
- Name
- Dr. Frederick A Lodge
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 19, 2005
- Last updated
- Jul 30, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - ANESTHESIOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 00g572072 | CA | Yes |
| 174400000X | Specialist | G57207 | CA |
Practice location
580 N Spring StUkiah, CA 95482-4251
Phone 707-468-5015 · Fax 707-468-5015
Mailing address
Po Box 492680Redding, CA 96049-2680
Phone 530-243-0440 · Fax 530-243-0445
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 8 Anesthesiology Physician providers in Ukiah · All 1,707 providers in Ukiah
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