Jeffrey Alan Frederick in Oklahoma City - Medical
Jeffrey Alan Frederick - NPI 1093743957
Jeffrey Alan Frederick is a Medical in Oklahoma City, Oklahoma. Jeffrey Alan Frederick practices all healthcare services and medical treatments related to Medical. The NPI Number for Jeffrey Alan Frederick is 1093743957. The last update date is 2013-07-15.
Jeffrey Alan Frederick's current location address is 4200 W Memorial Rd, Oklahoma City, Oklahoma. You can contact this provider via phone number 4057551930 and fax number 4057552795. The mailing address for Jeffrey Alan Frederick is 4200 W Memorial Rd, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Alan Frederick |
|---|---|
| Address | 4200 W Memorial Rd, Oklahoma City, Oklahoma |
| Phone Number | 4057551930 |
| Fax Number | 4057552795 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1093743957 |
|---|---|
| Provider Enumeration Date | 2006-06-29 |
| Last Updated Date | 2013-07-15 |
Provider Mailing Address Detail
| Address | 4200 W Memorial Rd |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731209350 |
| Phone Number | 4057551930 |
| Fax Number | 4057552795 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA 936 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100189640 A | OK | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Jeffrey Alan Frederick by the Centers for Medicare & Medicaid Services?
The Jeffrey Alan Frederick has been issued the NPI (National Provider Identifier) 1093743957. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jeffrey Alan Frederick's physical address?
The Jeffrey Alan Frederick is physically located at 4200 W Memorial Rd, in the city of Oklahoma City, OK, with the postal code 731209350.
What is Jeffrey Alan Frederick's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jeffrey Alan Frederick's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.
When did Jeffrey Alan Frederick receive its 1093743957 assignment?
The Jeffrey Alan Frederick was assigned its 1093743957 on 2006-06-29, which is the date when this unique identifier was issued to the organization.
When was the Jeffrey Alan Frederick's information last updated?
The Jeffrey Alan Frederick's information was last updated on 2013-07-15.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY