Frederick Eko MD Inc

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

A120873 Issued in CA

Legal business name

FREDERICK EKO MD INC

Practice address

44651 Village CT Ste 104
Palm Desert, CA 92260-3821

Phone

(760) 249-2222

Fax

(760) 237-2223

NPI assigned

Oct 7, 2015

Organization subpart

No

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

Authorized official

Name

Frederick N Eko, MDNPI 1134394117

Title

President/Ceo

Phone

(760) 413-5544

Specialties & licenses 1

Addresses

Other names 1

• Eko Plastic Surgery Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Frederick N Eko, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Palm Desert, CA
  • NPI 1134394117
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1346610052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2867",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922612867",
            "telephone_number": "760-249-2222",
            "fax_number": "760-237-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44651 VILLAGE CT STE 104",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603821",
            "telephone_number": "760-249-2222",
            "fax_number": "760-237-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK EKO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "EKO",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "760-413-5544",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A120873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eko Plastic Surgery Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eko Plastic Surgery Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fountains Carlotta SL, LP
• Four Seasons Global Inc
• Kirstin Fowler, LMFT
• Melissa Francis
• Kristine Frank, LCSW
• Eric L Freedman, M.D.
• Heather R Freeman, LCSW #15856
• Craig Jared French
• Noelani Christine Frijas
• Abdiel Isai Fuentes, OTR/L

• Plastic Surgery Physician in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.