NPIMap

Organization Active NPI

Robert S Fredericks MD LTD

  • Endocrinology, Diabetes & Metabolism Physician
  • Reno, NV
National Provider Identifier
1215135397
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
ROBERT S FREDERICKS MD LTD
Practice address
540 W Plumb LN
Suite 2a
Reno, NV 89509-3666
Phone
(775) 348-1811
Fax
(775) 348-7139
NPI assigned
Jul 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Authorized official

Name
Nancy Fleming
Title
Practice Manager
Phone
(775) 348-1811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

540 W Plumb LN
Suite 2a
Reno, NV 89509-3666

Mailing address

540 W Plumb LN
Suite 2a
Reno, NV 89509-3666
Phone (775) 348-1811

Other names 1

  • Endocrine Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040702000389 NV Part B Supplier - Clinic/Group Practice 3870570211 Receives reassigned benefits from 2 practitioners
Practice locations: Reno, NV

National Provider Directory

National Provider Directory
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.

Locations

850 Mill St
Ste 204
Reno, NV 89502
Phone (702) 348-1811

1664 N Virginia St
#555
Reno, NV 89557
Phone (775) 682-8500

1495 Ridgeview Dr
Ste 230
Reno, NV 89519
Phone (702) 786-6770

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1215135397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W PLUMB LN",
            "address_2": "SUITE 2A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093666",
            "telephone_number": "775-348-1811",
            "fax_number": "775-348-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W PLUMB LN",
            "address_2": "SUITE 2A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093666",
            "telephone_number": "775-348-1811",
            "fax_number": "775-348-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT S FREDERICKS MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "775-348-1811"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endocrine Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.