Frederick A. Elmore, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

00C372670 Issued in CA

Practice address

7131 N 11TH St Ste 101
Fresno, CA 93720-3375

Phone

(559) 435-0717

Fax

(559) 435-9105

NPI assigned

Jan 2, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: felmore@7b4823aa.micromddirect.com

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

• Central Valley Vein and Laser Center, a Medical Group

  dba Elmore Medical Vein & Laser Treatment Center, Inc.

  • Surgery Physician
  • Fresno, CA
  • NPI 1891852562
  NPD (past) Authorized official
• Saint Agnes Medical Center

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1205845567
  NPD

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354665600000",
    "number": "1669539318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7131 N 11TH ST STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203375",
            "telephone_number": "559-435-0717",
            "fax_number": "559-435-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7131 N 11TH ST STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203375",
            "telephone_number": "559-435-0717",
            "fax_number": "559-435-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMORE",
        "first_name": "FREDERICK",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2012-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "00C372670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "942588262",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Ellison, LMFT
• Tuswana Makini Ellsberry, FNP
• Victoria Ernestina Ellsworth, MD
• Elmer Wong OD
• Karim Elmobdy
• Nicki Jean Elms, P.A.
• Jessica Elorza
• Ahmed R Elreedi, DDS
• Mohamed Elsayed
• Nanis Elsayed

• Surgery Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.