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

Dr. Ryan Michael Fredericks, MD

Individual provider Pediatrics Physician · NPI 1942612510

Dr. Ryan Michael Fredericks, MD is a Pediatrics Physician in Seattle, Washington. Works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2014
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

747 Broadway
Seattle, WA 98122-4379
Phone: (206) 215-2700
Fax: (206) 215-2702
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 17th Ave, Seattle, WA 98122-5711 — (206) 215-2700

Specialties & licences

Pediatric Critical Care Medicine Physician (primary) Taxonomy 2080P0203X · Licence MD61449691 (WA)
Pediatrics Physician Taxonomy 208000000X · Licence MD61449691 (WA)

Record details

NPI number1942612510
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 29, 2014
Last updated in NPPESOctober 5, 2023
Certification dateOctober 5, 2023
Mailing addressPo Box 25608, Salt Lake City, UT 84125-0608

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