Jeffrey Alan Frederick, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA 936 Issued in OK

Practice address

3650 W Rock Creek Rd
110A
Norman, OK 73072-2202

Phone

(405) 364-2666

Fax

(405) 364-9627

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oklahoma Otolaryngology Associates LLCGroup PAC ID 9739136102, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Hospital, LLC Hospital, Oklahoma City, OK, CCN 370203
• Norman Regional Hospital, Norman, OK, CCN 370008

Merit-based Incentive Payment System (MIPS)

Final score

24 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

79.99

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oklahoma Otolaryngology Associates, LLC

  • Specialist
  • Oklahoma City, OK
  • NPI 1124118773
  Medicare reassignment Care Compare group
• Norman Regional Hospital Authority

  • General Acute Care Hospital
  • Norman, OK
  • NPI 1700882578
  NPD (past)
• Oklahoma Otolaryngology Hearing Center Inc

  • Audiologist
  • Edmond, OK
  • NPI 1356788954
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Hospital LLC

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1275593337
  Care Compare affiliation
• Norman Regional Hospital Authority

  • General Acute Care Hospital
  • Norman, OK
  • NPI 1700882578
  Care Compare affiliation

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1093743957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 W MEMORIAL RD",
            "address_2": "606",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731209350",
            "telephone_number": "405-755-1930",
            "fax_number": "405-755-2795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 W ROCK CREEK RD",
            "address_2": "110A",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730722202",
            "telephone_number": "405-364-2666",
            "fax_number": "405-364-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "PA 936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100189640 A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Franklin, CRNA
• Kimberly Lorraine Franks-Martens, ARNP
• Holly Erin Frantz, IBCLC,MSN,WHNP-BC
• Robert R. Frantz Jr., M.D.
• Micheal Dewayne Frazier II
• Amanda Freeman
• Austin Joseph Freeman, DC
• Kaleshia Freeman
• Kelli Jo Freeman, CM
• Megan Kay Freeman

• Medical Physician Assistant in Norman, OK
• Providers in Norman, OK by specialty
• Medical Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.