Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jon Randall Frederick, MD

Individual provider Family Medicine Physician · NPI 1003997800

Dr. Jon Randall Frederick, MD is an Emergency Medicine in Richmond, Virginia. Graduated from Virginia Commonwealth University, School of Medicine in 2006, 20 years ago. Practices with Alchemy PLLC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
20
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
VA
In the registry since
2006
Specialties on file
2
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

8639 Mayland Dr Ste 102
Richmond, VA 23294-4752
Phone: (804) 993-3039
Fax: (804) 447-1953
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8260 Atlee Rd, Mechanicsville, VA 23116 — (804) 764-6300

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 0101242098 (VA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0101242098 (VA)

Record details

NPI number1003997800
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 18, 2006
Last updated in NPPESOctober 25, 2024
Certification dateOctober 25, 2024
Mailing address200 Corporate Blvd, Lafayette, LA 70508-3870

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Also practisesGENERAL PRACTICE
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Alchemy Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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