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FRED G FEDOK MD NPI 1760449656


NPI Information

NPI: 1760449656
Provider Name: FRED G FEDOK, MD
Classification: Otolaryngology - 207YS0123X
Entity Type: Individual

Specialization: Facial Plastic Surgery

PECOS Registration: Yes

Address:
113 E FERN AVE
FOLEY, AL
ZIP 36535
Phone: (251) 943-6003
Get Directions

Fred G Fedok, MD is a facial plastic surgery otolaryngology in Foley, AL with 45 years of experience. The provider is an otolaryngologist who specializes in facial plastic surgery. Fred G Fedok, MD NPI is 1760449656. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1979

The provider's business location address is:

113 E FERN AVE
FOLEY, AL
ZIP 36535-806
Phone: (251) 943-6003
Fax: (251) 943-2429

The NPI 1760449656 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Tangential biopsy of single skin lesion (HCPCS:11102)

The enumeration date for this NPI number is 4/26/2006 and was last updated on 7/21/2022.


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
1207Y00000XOtolaryngologyMD028333EPENNSYLVANIANo
22082S0099XPlastic SurgeryPlastic Surgery Within the Head and Neck15147ALABAMANo
3207YS0123XOtolaryngologyFacial Plastic Surgery15147ALABAMAYes

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
10011684000002MEDICAIDPENNSYLVANIA

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

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.