Rhett Keyser Fredric, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

E0011 Issued in TX

Practice address

909 9TH Ave
Suite 402
Fort Worth, TX 76104-3903

Phone

(817) 338-9291

Fax

(817) 335-2817

NPI assigned

Nov 22, 2005

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 6

Other names 1

• Rhett K Fredric Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Rhett K Fredric, M.D. & Associates

  • Medical Oncology Physician
  • Fort Worth, TX
  • NPI 1932302056
  NPD (past) Authorized official
• West LPN Fort Worth Oncology PLLC

  • Medical Oncology Physician
  • Fort Worth, TX
  • NPI 1316112261
  NPD (past)

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300924800000",
    "number": "1245213230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 9TH AVE",
            "address_2": "SUITE 402",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043903",
            "telephone_number": "817-338-9291",
            "fax_number": "817-335-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 9TH AVE",
            "address_2": "SUITE 402",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043903",
            "telephone_number": "817-338-9291",
            "fax_number": "817-335-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDRIC",
        "first_name": "RHETT",
        "middle_name": "KEYSER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2011-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "E0011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110056584",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175908601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8AJ539",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CQ911",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175911001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175911002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RHETT",
            "last_name": "FREDRIC",
            "middle_name": "K",
            "credential": "MD PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Fred L. Spradley, D.D.S., M.S.D., P.a.
• Stephanie Fredeking
• Nicole Lea Frederick, DNP, APRN,ACCNS-AG
• Kristin Jo Frederiksen, L.M.S.W.
• Fredric D Johnson MD PA
• Chelsea Victoria Fredrick, SLP
• Free to Be Counseling PLLC
• Katherine Isaiah Free, M.S., CCC-SLP
• Meghan A Freed, NP
• Lyle Eric Freedman, MD

• Hematology & Oncology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Hematology & Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.