Tim E. Frederick, MD

Neurology Physician · Springfield, MO

Individual Active NPI

NPI number 1295803047

Practice location

1965 S Fremont Ave
Suite 230
Springfield, MO 65804-2201
Phone
(417) 820-9123
Fax
(417) 820-3935

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NPI record

NPI
1295803047
Entity type
Individual (Type 1)
Enumeration date
December 1, 2006
Last updated
February 11, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Neurology Physician Primary 2084N0400X 2004004160 MO

Mailing address

PO Box 2580
Springfield, MO 65801-2580
Phone
(417) 829-4620
Fax
(417) 829-4316

About Dr. Frederick

Tim E. Frederick, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Neurology Physician (code 2084N0400X). The practice location is 1965 S Fremont Ave, Suite 230, Springfield, MO 65804-2201. The NPI number 1295803047 was assigned on December 1, 2006 and the record was last updated on February 11, 2011.

Dr. Frederick lists a license in the registry: #2004004160 (MO) for Neurology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tim E. Frederick, MD?

The NPI number is 1295803047.

What is the phone number of Dr. Frederick?

The phone number listed for the practice location is (417) 820-9123.

Where is Dr. Frederick located?

1965 S Fremont Ave, Suite 230, Springfield, MO 65804-2201.

What is the taxonomy code for Dr. Frederick?

The primary taxonomy code is 2084N0400X – Neurology Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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