Robert Charles Frederich Jr., M.D., PH.D.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

32851 Issued in KY

Practice address

1030 S Broadway
Suite 5
Lexington, KY 40504-2681

Phone

(859) 257-4058

NPI assigned

Feb 21, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Robert Charles Frederich Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1235174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235174400000",
    "number": "1376783092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 INGLESIDE AVE",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342709",
            "telephone_number": "609-737-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 S BROADWAY",
            "address_2": "SUITE 5",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042681",
            "telephone_number": "859-257-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICH",
        "first_name": "ROBERT",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-21",
        "last_updated": "2009-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "KY",
            "license": "32851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "FREDERICH",
            "middle_name": "CHARLES",
            "prefix": "DR.",
            "credential": "M.D., PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Matthew Frazier, PT, DPT
• Melissa Frazier, MPH, MBA
• Paul Mark Frazier, DMD
• Shamya Frazier, RBT
• Marion Doyle Freano Jr., DMD
• Frederick Douglas High School
• Stacy Rose Frederick, APRN, FNP-BC
• Tricia Irene Fredericks, MD
• Blake Fredericksen, DO
• Christina E Fredericksen

• Endocrinology, Diabetes & Metabolism Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Endocrinology, Diabetes & Metabolism Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2009; 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.