Frederick M Deboe Jr, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23016 Issued in WI

Practice address

1575 N Rivercenter Dr
#124
Milwaukee, WI 53212-3965

Phone

(414) 283-8444

Fax

(414) 283-8450

NPI assigned

Aug 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1639284821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 W FOREST HOME AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532152843",
            "telephone_number": "414-647-6326",
            "fax_number": "414-671-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 N RIVERCENTER DR",
            "address_2": "#124",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123965",
            "telephone_number": "414-283-8444",
            "fax_number": "414-283-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBOE",
        "first_name": "FREDERICK",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "JR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01032345A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "23016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fdeboe7130@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1575 N Rivercenter Dr",
            "address_2": "#124",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532123965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1575 N Rivercenter Dr",
            "address_2": "#124",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532123965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Luke Debauche
• Nancy L. Debbink, M.D.
• Deberry Consultant Services and Behavioral Health
• Barbara Lee Deberry, LCSW
• Michael Debisschop, PHARMD
• Margaret Debot, MD
• Kimberly Joan Dechant, DPT
• Alexandra Lee Decker, RDH
• Brandon James Decker
• Dayna Decker

• Family Medicine Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.