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

Individual provider Anesthesiology Physician · NPI 1619986304

Dr. Michael Woodworth Fredrick, DO is an Anesthesiology in Flagstaff, Arizona. Qualified in 1997, 29 years ago. Practices with Northern Arizona Healthcare Corporation, a 395-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
29
Licensed in
AZ
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone: (928) 779-3366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 77 W Forest Ave Ste 117, Flagstaff, AZ 86001-1482 — (928) 773-2505

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 3679 (AZ)

Record details

NPI number1619986304
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 5, 2006
Last updated in NPPESSeptember 9, 2020
Certification dateSeptember 9, 2020

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Northern Arizona Healthcare Corporation — 395 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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