Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Fredrick Newell Southern, MD

Individual provider Vascular Surgery Physician · NPI 1154381333

Dr. Fredrick Newell Southern, MD is a Vascular Surgery in Virginia Beach, Virginia. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 1987, 39 years ago. Practices with Mountain Spring Vascular LLC, a 30-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
39
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
VA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5589 Greenwich Rd Ste 100
Virginia Beach, VA 23462
Phone: (757) 437-2882
Fax: (757) 502-8800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 0101044423 (VA)

Record details

NPI number1154381333
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2006
Last updated in NPPESApril 8, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 1987 (39 years in practice)
Group practice Mountain Spring Vascular Llc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations13 on file with Medicare

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