Active NPI
Fredrick Oakley, M.D., PH. D.
- Anatomic Pathology & Clinical Pathology Physician
- Rock Island, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 036.142587
- Practice address
- 2701 17TH St
Rock Island, IL 61201-5351 - Phone
- (093) 779-2127
- Fax
- (309) 779-2137
- NPI assigned
- Apr 13, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 036.142587 | IL | Primary |
Addresses
Primary practice location
2701 17TH St
Rock Island, IL 61201-5351
Mailing address
2146 Belcourt Ave
Nashville, TN 37212-3504
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 W Walnut St
Canton, IL 61520-2444
Phone (309) 647-5240
221 NE Glen Oak Ave
Peoria, IL 61636-0001
Phone (309) 672-4918
2701 17TH St
Rock Island, IL 61201-5351
Phone (309) 779-5286
4500 Utica Ridge Rd
Bettendorf, IA 52722-1626
Phone (563) 742-2724
500 John Deere Rd
Moline, IL 61265-6892
Phone (309) 779-5786
Hospital & facility affiliations
- Trinity Rock Island
- Trinity Muscatine
- Trinity - Bettendorf
- Carle Health Methodist Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.142587 | IL | MD | Anatomic Pathology & Clinical Pathology 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 and National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Peoria, IL
- NPI 1578597738
IA
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
- General Acute Care Hospital
- Rock Island, IL
- NPI 1316047632
-
- General Acute Care Hospital
- Bettendorf, IA
- NPI 1124110820
-
- General Acute Care Hospital
- Muscatine, IA
- NPI 1861444333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615161600000",
"number": "1235429085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2146 BELCOURT AVE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372123504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 17TH ST",
"city": "ROCK ISLAND",
"state": "IL",
"postal_code": "612015351",
"telephone_number": "093-779-2127",
"fax_number": "309-779-2137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OAKLEY",
"first_name": "FREDRICK",
"credential": "M.D., PH. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-13",
"last_updated": "2021-03-08",
"certification_date": "2021-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IL",
"license": "036.142587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rock Island, IL
- Gwen O'Connell
- Delores Ann O'Dell McCollum, PHD
- James O'Grady, PHARMD
- Raymond Eugene O'Neill
- Leslie W. O'Ryan, EDD
- Occupational Health Centers of Illinois PC
- Occupational Health Centers of Illinois PC
- Occupational Health Centers of Illinois PC
- Occupational Health Centers of Illinois, P.C.
- Occupational Health Centers of Illinois, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.