Active NPI
Frederick A Klein, MD
- Urology Physician
- Sweetwater, TN
National Provider Identifier
1104827039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 17355
- Practice address
- 304 Wright St
Sweetwater, TN 37874-1181 - Phone
- (865) 213-8453
- NPI assigned
- Aug 2, 2005
- Last updated
- Nov 24, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 17355 | TN | Primary |
Addresses
Primary practice location
304 Wright St
Sweetwater, TN 37874-1181
Mailing address
304 Wright St
Sweetwater, TN 37874-1181
Phone (865) 213-8453
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0059766 | Other | TN | BC |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17355 | TN | MD | Urology Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urology Physician
- Sweetwater, TN
- NPI 1194127290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416787200000",
"number": "1104827039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 WRIGHT ST",
"city": "SWEETWATER",
"state": "TN",
"postal_code": "378741181",
"telephone_number": "865-213-8453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 WRIGHT ST",
"city": "SWEETWATER",
"state": "TN",
"postal_code": "378741181",
"telephone_number": "865-213-8453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "FREDERICK",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2014-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TN",
"license": "17355",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC",
"identifier": "0059766",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sweetwater, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.