Robert S. Fredericks MD LTD.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

4014 Issued in NV

Legal business name

ROBERT S. FREDERICKS MD LTD.

Practice address

1495 Ridgeview Dr
Reno, NV 89519-6346

Phone

(775) 826-9300

Fax

(775) 826-9301

NPI assigned

Mar 31, 2014

Organization subpart

No

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

Authorized official

Name

Robert S Fredericks, M.D.NPI 1336156546

Title

President

Phone

(775) 826-9300

Specialties & licenses 1

Addresses

Tax ID family

Endocrine Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Robert S Fredericks MD LTD

  dba Endocrine Associates

  • Endocrinology, Diabetes & Metabolism Physician
  • Reno, NV
  • NPI 1215135397
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Stephen Fredericks, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Reno, NV
  • NPI 1336156546
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396224000000",
    "number": "1083032759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 RIDGEVIEW DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895196346",
            "telephone_number": "775-826-9300",
            "fax_number": "775-826-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 RIDGEVIEW DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895196346",
            "telephone_number": "775-826-9300",
            "fax_number": "775-826-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT S. FREDERICKS MD LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-31",
        "last_updated": "2014-03-31",
        "status": "A",
        "authorized_official_last_name": "FREDERICKS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-826-9300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NV",
            "license": "4014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert G Berry Jr MD (Mountain West Sport and Spine)
• Robert G. Berry LTD - Ortho Rehab Specialists of Nevada
• Robert J Riley LTD (Aistheta)
• Robert J. Rosenquist, CHTD.
• Robert S Fredericks MD LTD (Endocrine Associates)
• Robert W Watson, MD, LTD
• Clarisse Robert, APN
• Suzanne Robert, APN
• Kerry K Roberts-Manson, PH.D
• Jessica Lynn Roberts, PAC

• Endocrinology, Diabetes & Metabolism Physician in Reno, NV
• Providers in Reno, NV by specialty
• Endocrinology, Diabetes & Metabolism Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; 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.