DR. TIM E. FREDERICK MD
NPI 1295803047
Psychiatry & Neurology - Neurology in Springfield, MO
NPI Status: Active since December 01, 2006
Contact Information
1965 S FREMONT AVE
SUITE 230
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 820-9123
Fax: (417) 820-3935
- Individual
- Male
- Psychiatry & Neurology
- Neurology
About TIM FREDERICK
This page provides the complete NPI Profile along with additional information for Tim Frederick, a provider established in Springfield, Missouri with a medical specialization in Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1295803047 assigned on December 2006. The practitioner's primary taxonomy code is 2084N0400X with license number 2004004160 (MO). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1295803047
- Provider Name
- DR. TIM E. FREDERICK MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1965 S FREMONT AVE SUITE 230 SPRINGFIELD, MO 65804
- Location Phone
- (417) 820-9123
- Location Fax
- (417) 820-3935
- Mailing Address
- PO BOX 2580 SPRINGFIELD, MO 65801
- Mailing Phone
- (417) 829-4620
- Mailing Fax
- (417) 820-3935
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-01-2006
- Last Update Date
- 02-11-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Neurology
- Taxonomy Code
- 2084N0400X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 2004004160
- License State
- MO
- Taxonomy Description
- A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 919183268 | MEDICARE PIN (08) | MO | |
| P00141755 | OTHER (01) | RAILROAD MEDICARE | |
| 431560263024 | OTHER (01) | TRICARE | |
| B61956 | MEDICARE UPIN (02) | MO | |
| 208757807 | MEDICAID (05) | MO |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 9 | 5 | 8 | 0 | 3 | 0 | 4 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 18 | 5 | 16 | 0 | 6 | 0 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 8 + 5 + 1 + 6 + 0 + 6 + 0 + 8 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1295803047 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1386616142 | MRS. WENDY L MURRAY FNP Individual | Nurse Practitioner (Family) | 1965 S FREMONT AVE SUITE 100 SPRINGFIELD, MO 65804 (417) 820-3800 |
| 1043273188 | DR. ROBERT M CAVAGNOL MD Individual | Surgery | 1965 S FREMONT AVE SUITE 100 SPRINGFIELD, MO 65804 (417) 820-3800 |
| 1255387577 | DR. DONALD AUGUST BALUN JR. MD Individual | Psychiatry & Neurology (Psychiatry) | 1965 S FREMONT AVE SUITE 330 SPRINGFIELD, MO 65804 (417) 820-8180 |
| 1346289279 | MS. MARILYN S. TRUMBLE WHNP Individual | Nurse Practitioner (Obstetrics & Gynecology) | 1965 S FREMONT AVE SUITE 270 SPRINGFIELD, MO 65804 (417) 820-3890 |
| 1013936749 | DR. ERIC P. GUILLIAMS M.D. Individual | Urology | 1965 S FREMONT AVE SUITE 370 SPRINGFIELD, MO 65804 (417) 882-0300 |
| 1669486601 | MRS. ALLISON K. ROSS PA-C Individual | Physician Assistant | 1965 S FREMONT AVE SUITE 130 SPRINGFIELD, MO 65804 (417) 820-5150 |
| 1427062645 | DR. WILLIS H HOYT MD Individual | Psychiatry & Neurology (Psychiatry) | 1965 S FREMONT AVE SUITE 330 SPRINGFIELD, MO 65804 (417) 820-8180 |
| 1548333727 | DR. JULIETTE A. GIBBONS MD Individual | Obstetrics & Gynecology | 1965 S FREMONT AVE SUITE 270 SPRINGFIELD, MO 65804 (417) 820-3890 |
| 1619042249 | DR. DARREN L. LEHNERT MD Individual | Obstetrics & Gynecology | 1965 S FREMONT AVE SUITE 270 SPRINGFIELD, MO 65804 (417) 820-3890 |
| 1457428500 | RITA D. SNAVELY FNP Individual | Nurse Practitioner (Family) | 1965 S FREMONT AVE SUITE 100 SPRINGFIELD, MO 65804 (417) 820-3800 |
| 1699843391 | SARAH N. CATES FNP Individual | Nurse Practitioner (Family) | 1965 S FREMONT AVE SUITE 230 SPRINGFIELD, MO 65804 (417) 820-9123 |
| 1548328446 | DR. KELLY A. TRYGG MD Individual | Internal Medicine | 1965 S FREMONT AVE SUITE 350 SPRINGFIELD, MO 65804 (417) 820-3500 |
| 1144388745 | DR. JENIFER H. ZHAI MD Individual | Psychiatry & Neurology (Neurology) | 1965 S FREMONT AVE SUITE 230 SPRINGFIELD, MO 65804 (417) 820-9123 |
| 1063575330 | DONNA MARIE IRISH APRN-BC, GNP Individual | Nurse Practitioner (Gerontology) | 1965 S FREMONT AVE SUITE 300 SPRINGFIELD, MO 65804 (417) 820-2936 |
| 1790824480 | DR. KEITH A LAFERRIERE MD Individual | Otolaryngology | 1965 S FREMONT AVE SUITE 120 SPRINGFIELD, MO 65804 (417) 887-3223 |
| 1841330412 | DR. ROBERT D. JOHNSON MD Individual | Urology | 1965 S FREMONT AVE SUITE 370 SPRINGFIELD, MO 65804 (417) 820-0300 |
| 1083756126 | MELISSA A. BELK FNP Individual | Nurse Practitioner (Family) | 1965 S FREMONT AVE SUITE 120 SPRINGFIELD, MO 65804 (417) 887-3223 |
| 1700929288 | DR. JOYCE C NOBLE PHD Individual | Psychologist | 1965 S FREMONT AVE SUITE 310 SPRINGFIELD, MO 65804 (417) 820-3228 |
| 1700920071 | DR. THOMAS F. WEESTON MD Individual | Psychiatry & Neurology (Psychiatry) | 1965 S FREMONT AVE SUITE 310 SPRINGFIELD, MO 65804 (417) 820-3128 |
| 1346363058 | MERCY CLINIC SPRINGFIELD COMMUNITIES Organization | Durable Medical Equipment & Medical Supplies | 1965 S FREMONT AVE SPRINGFIELD, MO 65804 (417) 887-3223 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295803047, enumerated in the NPI registry as an "individual" on December 01, 2006
The provider is located at 1965 S Fremont Ave Suite 230 Springfield, Mo 65804 and the phone number is (417) 820-9123
The provider's speciality is Psychiatry & Neurology with taxonomy code 2084N0400X with a focus in Neurology
The provider might be accepting Accepts: Medicare, Medicaid, Railroad Medicare and Tricare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on December 01, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.