Individual provider Active NPI

Frank L. Frederick, DO

  • Emergency Medicine Physician
  • Sand Springs, OK
National Provider Identifier
1588621247
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
3661 Issued in OK
Practice address
102 S Main St
Sand Springs, OK 74063-6509
Phone
(918) 245-2286
Fax
(918) 241-4366
NPI assigned
Apr 27, 2006
Last updated
Dec 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2008002409 MO
Emergency Medicine Physician 207P00000X 3661 OK Primary

Addresses

Primary practice location

102 S Main St
Sand Springs, OK 74063-6509

Mailing address

6600 S Yale Ave Ste 1200
Tulsa, OK 74136-3361

Other identifiers 1

IdentifierTypeStateIssuer
100255430DMedicaidOK

Other names 1

  • Dr. Frank L.O. Frederick Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050602001165 OK Practitioner - Emergency Medicine 3476593567 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warren Clinic IncGroup PAC ID 8820900293, 787 clinicians

Practice addresses (Care Compare)

6600 S Yale Ave
Suite 1400
Tulsa, OK 74136-3331
Phone (918) 488-6000

Merit-based Incentive Payment System (MIPS)

Final score
91.06 of 100Reported as apm
Quality
75.25
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2008002409MOMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Nov 15, 2010 Accepting new patients
Warren Clinic Inc CurrentSince Oct 28, 2024 Accepting new patients
Emergency Services of Oklahoma PC Emergency Medicine CurrentSince Jan 1, 2011 Accepting new patients
St. John Physicians, Inc. Emergency Medicine CurrentSince Nov 15, 2010 Accepting new patients
South Central Emergency Services PC Emergency Medicine CurrentSince Jun 1, 2011 Accepting new patients
Southcrest Emergency Physicians PC Past Accepting new patients
Sjmgroup Past Accepting new patients

Locations

1027 E Cherry St
Cushing, OK 74023
Phone (918) 225-2915

901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

102 S Main St
Sand Springs, OK 74063
Phone (918) 245-2286

1004 E Bryan Ave
Sapulpa, OK 74066
Phone (918) 224-4280

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

8801 S 101st East Ave
Tulsa, OK 74133
Phone (800) 965-4565

Interoperability endpoints

  • Direct secure messaging: frank.frederick@direct.stjohnhealthsystem.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1588621247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 S YALE AVE STE 1200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S MAIN ST",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740636509",
            "telephone_number": "918-245-2286",
            "fax_number": "918-241-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "FRANK",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2008002409",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "3661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100255430D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRANK",
            "last_name": "FREDERICK",
            "middle_name": "L.O.",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sand Springs, OK

Sources for this page

Verify at the official NPI Registry.