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FREDERICK JAY FRICKER MD NPI 1871554394


NPI Information

NPI: 1871554394
Provider Name: FREDERICK JAY FRICKER, MD
Classification: Pediatrics - 2080P0202X
Entity Type: Individual

Specialization: Pediatric Cardiology

Organization: FLORIDA CLINICAL PRACTICE ASSOCIATION INC

PECOS Registration: Yes

Address:
1600 SW ARCHER RD
GAINESVILLE, FL
ZIP 32610
Phone: (352) 273-7770
Get Directions

Frederick Jay Fricker, MD is a pediatric cardiology pediatrics in Gainesville, FL with 54 years of experience. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. Frederick Jay Fricker, MD NPI is 1871554394. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduation Year:1970

The provider's business location address is:

1600 SW ARCHER RD
GAINESVILLE, FL
ZIP 32610-003
Phone: (352) 273-7770
Fax: (352) 392-0547

The NPI 1871554394 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/1/2006 and was last updated on 1/24/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsME74330FLORIDANo
22080P0202XPediatricsPediatric CardiologyME74330FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
168774ZMEDICARE PIN
2000748888AMEDICAIDGEORGIA
3370009682MEDICARE PINFLORIDA
468774XMEDICARE PINFLORIDA
5C30187MEDICARE UPIN
6378890300MEDICAIDFLORIDA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.