Active NPI
Frank A Radke, PAC
- Family Medicine Physician
- Decatur, TX
National Provider Identifier
1609972413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- PA00971
- Practice address
- 1001 W Eagle Dr
Decatur, TX 76234-3745 - Phone
- (940) 627-7443
- Fax
- (940) 627-7464
- NPI assigned
- Sep 16, 2006
- Last updated
- May 1, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | PA00971 | TX | Primary |
Addresses
Primary practice location
1001 W Eagle Dr
Decatur, TX 76234-3745
Mailing address
1001 W Eagle Dr
Decatur, TX 76234-3745
Phone (940) 627-7443
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209600000000",
"number": "1609972413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 W EAGLE DR",
"city": "DECATUR",
"state": "TX",
"postal_code": "762343745",
"telephone_number": "940-627-7443",
"fax_number": "940-627-7464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 W EAGLE DR",
"city": "DECATUR",
"state": "TX",
"postal_code": "762343745",
"telephone_number": "940-627-7443",
"fax_number": "940-627-7464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADKE",
"first_name": "FRANK",
"middle_name": "A",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2008-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "PA00971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.