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

Dr. Tiffany Ann Frederickson

Individual provider Surgery Physician · NPI 1265669956

Dr. Tiffany Ann Frederickson is a General Surgery in Rapid City, South Dakota. Qualified in 2009, 17 years ago. Practices with The Aroostook Medical Center, a 116-clinician group and accepts Medicare assignment. Licensed in Iowa, Maine and South Dakota.

Years since qualifying
17
Licensed in
IA, ME, SD
In the registry since
2009
Specialties on file
3
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Practice location Address checks out

8412 Kitt Peak Rd
Rapid City, SD 57702-9512
Phone: (515) 201-8982
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 9138 (SD)
Surgery Physician Taxonomy 208600000X · Licence R-8763 (IA)
Surgery Physician Taxonomy 208600000X · Licence TD151001 (ME)

Record details

NPI number1265669956
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 19, 2009
Last updated in NPPESSeptember 15, 2015

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice The Aroostook Medical Center — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rapid City