Individual provider Active NPI

John Wayne Fricker Jr., DPM

  • Podiatrist
  • Frankfort, KY
National Provider Identifier
1346358843
Registry record updated Nov 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
244150 Issued in KY
Practice address
110 Diagnostic Dr Ste a
Frankfort, KY 40601-6557
Phone
(502) 219-7937
Fax
(502) 219-7948
NPI assigned
Aug 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 246 KY
Primary Podiatric Medicine Podiatrist 213EP1101X 00246 KY
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 244150 KY Primary

Addresses

Primary practice location

110 Diagnostic Dr Ste a
Frankfort, KY 40601-6557

Mailing address

110 Diagnostic Dr Ste a
Frankfort, KY 40601-6557
Phone (502) 219-7937

Other identifiers 3

IdentifierTypeStateIssuer
000000184063OtherKYANTHEM
P00071331OtherKYRAILROAD MEDICARE
80002462MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240118002427 KY Practitioner - Podiatry 1456474774 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

110 Diagnostic Dr
Suite a
Frankfort, KY 40601-6557
Phone (502) 219-7937

Hospital & facility affiliations

  • Frankfort Regional Medical Center Hospital, Frankfort, KY, CCN 180127

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue109
Removal of skin lesions1-10
Removal of nail tissue240
Removal or shaving of skin growth41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
246KYMDPodiatrist
00246KYMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fricker Foot Clinic PLLC Single Specialty CurrentSince Jul 15, 2023 Accepting new patients
Frankfort Foot Care PLLC Single Specialty CurrentSince Feb 25, 2024 Accepting new patients

Locations

5 Physicians Park
Ste 3
Frankfort, KY 40601
Phone (502) 227-7569

110 Diagnostic Dr
Ste A
Frankfort, KY 40601
Phone (502) 219-7937

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699660800000",
    "number": "1346358843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 DIAGNOSTIC DR STE A",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406016557",
            "telephone_number": "502-219-7937",
            "fax_number": "502-219-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 DIAGNOSTIC DR STE A",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406016557",
            "telephone_number": "502-219-7937",
            "fax_number": "502-219-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRICKER",
        "first_name": "JOHN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-26",
        "last_updated": "2023-11-11",
        "certification_date": "2023-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KY",
            "license": "246",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "KY",
            "license": "00246",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "KY",
            "license": "244150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000184063",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00071331",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80002462",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, KY

Sources for this page

Verify at the official NPI Registry.