Active NPI
Frederick Allen Hauser Jr., D.O. MPH
- Occupational Medicine Physician
- Kennedy Space Center, FL
National Provider Identifier
1013173137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- OS17706
- Practice address
- Occupational Health Facility
Building M6-495, Mail Code Nem-005
Kennedy Space Center, FL 32899 - Phone
- (321) 867-2025
- Fax
- (321) 867-2040
- NPI assigned
- Jul 29, 2008
- Last updated
- Sep 20, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Aerospace Medicine Physician | 2083A0100X | 63465 | GA | |
| Occupational Medicine Physician | 2083X0100X | 63465 | GA | |
| Occupational Medicine Physician | 2083X0100X | OS17706 | FL | Primary |
| General Practice Physician | 208D00000X | 63465 | GA |
Addresses
Primary practice location
Occupational Health Facility
Building M6-495, Mail Code Nem-005
Kennedy Space Center, FL 32899
Mailing address
Occupational Health Facility
Building M6-495 Mail Code Nem-005
Kennedy Space Center, FL 32899
Phone (321) 867-2025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS17706 | FL | MD | Occupational Medicine Physician |
| 63465 | GA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632096000000",
"number": "1013173137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "OCCUPATIONAL HEALTH FACILITY",
"address_2": "BUILDING M6-495 MAIL CODE NEM-005",
"city": "KENNEDY SPACE CENTER",
"state": "FL",
"postal_code": "32899",
"telephone_number": "321-867-2025",
"fax_number": "321-867-2040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "OCCUPATIONAL HEALTH FACILITY",
"address_2": "BUILDING M6-495, MAIL CODE NEM-005",
"city": "KENNEDY SPACE CENTER",
"state": "FL",
"postal_code": "32899",
"telephone_number": "321-867-2025",
"fax_number": "321-867-2040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUSER",
"first_name": "FREDERICK",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.O. MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-29",
"last_updated": "2021-09-20",
"certification_date": "2021-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "GA",
"license": "63465",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "GA",
"license": "63465",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "FL",
"license": "OS17706",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "GA",
"license": "63465",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennedy Space Center, FL
- Adventist Health System/Sunbelt, Inc. (Kennedy Space Center Visitor Complex First Aid Station)
- Everett Cordie Cooper III, M.D.
- John Joseph Darwood, M.D.
- Mary Kathleen Kirkland, MS, ATC, LAT, CSCS
- Violette W Salib, M.D.
- Ian Christopher Stites, LAT, ATC
- Steven P. Taubkin, M.D.
- David Allen Tipton, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.