Gary A. Frederick in Shattuck - Family Medicine
Gary A. Frederick - NPI 1194723213
Gary A. Frederick is a Family Medicine in Shattuck, Oklahoma. Gary A. Frederick practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Gary A. Frederick is 1194723213. The last update date is 2009-10-21.
Gary A. Frederick's current location address is 905 S Main St, Shattuck, Oklahoma. You can contact this provider via phone number 5809382551 and fax number 5809382118. The mailing address for Gary A. Frederick is 905 S Main St, Shattuck, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary A. Frederick |
|---|---|
| Address | 905 S Main St, Shattuck, Oklahoma |
| Phone Number | 5809382551 |
| Fax Number | 5809382118 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1194723213 |
|---|---|
| Provider Enumeration Date | 2005-07-12 |
| Last Updated Date | 2009-10-21 |
Provider Mailing Address Detail
| Address | 905 S Main St |
|---|---|
| City | Shattuck |
| State | Oklahoma (OK) |
| Post Code | 738589205 |
| Phone Number | 5809382551 |
| Fax Number | 5809382118 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 15799 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100652050B | OK | -- |
Post Comment/ Review Below
What is the Gary A. Frederick's unique identification number?
The Gary A. Frederick has been assigned the NPI (National Provider Identifier) Number 1194723213 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Gary A. Frederick?
The Gary A. Frederick is situated at 905 S Main St, in the city of Shattuck, state of OK, with the zip code 738589205.
What is the Gary A. Frederick's area of specialization and corresponding taxonomy classification?
The Gary A. Frederick's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1194723213 to Gary A. Frederick?
The Centers for Medicare & Medicaid Services assigned the 1194723213 to Gary A. Frederick on 2005-07-12.
When was the information related to Gary A. Frederick most recently updated or refreshed?
The details pertaining to the Gary A. Frederick, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-10-21.
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