ROBERT RAY FREDERICK PA NPI 1619204690

NPI Information

NPI: 1619204690
Provider Name: ROBERT RAY FREDERICK, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
3366 NW EXPRESSWAY STE 730
OKLAHOMA CITY, OK
ZIP 73112
Phone: (405) 945-4905
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Robert Ray Frederick, PA is a medical physician assistant in Oklahoma City, OK. Robert Ray Frederick, PA NPI is 1619204690. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3366 NW EXPRESSWAY STE 730
OKLAHOMA CITY, OK
ZIP 73112-454
Phone: (405) 945-4905
Fax: (405) 945-4906

The NPI 1619204690 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 11/11/2009 and was last updated on 11/11/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA457	OKLAHOMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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