Individual provider Active NPI

Frederick Allen Hauser Jr., D.O. MPH

  • Occupational Medicine Physician
  • Kennedy Space Center, FL
National Provider Identifier
1013173137
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
OS17706 Issued in FL
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
OS17706FLMDOccupational Medicine Physician
63465GAMDGeneral 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

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.

Verify at the official NPI Registry.