Robert L Frerichs, MD PLLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

MD00024815 Issued in WV

Legal business name

ROBERT L FRERICHS, MD PLLC

Practice address

34612 6TH Ave S Ste 100
Federal Way, WA 98003-8723

Phone

(253) 237-0460

NPI assigned

Nov 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert L Frerichs, MD

Title

Provider/Owner

Phone

(253) 588-7911

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1659551885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34612 6TH AVE S STE 100",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038723",
            "telephone_number": "253-237-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34612 6TH AVE S STE 100",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038723",
            "telephone_number": "253-237-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L FRERICHS, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "FRERICHS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "253-588-7911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WV",
            "license": "MD00024815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031079",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deardra Eva Rivera, M.D.
• Riverstone Healthcare
• Tiffany Roark, OT
• Marilyn I Robbins, LMHC
• Robert Andrew Beaty, DDS, PLLC
• Robert McLaughlin MD Inc PS
• Wanda Roberton, MD
• Julie Johnson Roberts, M.D.
• Mark William Roberts, M.D.
• Sandy Roberts

• Ambulatory Surgical Clinic/Center in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Ambulatory Surgical Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.