NPIMap

Organization Active NPI

Fred J Fricke MD and Associates

Doing business as Nevada Gastroenterology

  • Gastroenterology Physician
  • Elko, NV
National Provider Identifier
1689699571
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
3167 Issued in NV
Legal business name
FRED J FRICKE MD AND ASSOCIATES
Doing business as
Nevada Gastroenterology
Practice address
247 Bluffs Ave Ste 102
Elko, NV 89801-2488
Phone
(775) 738-0500
Fax
(775) 738-0555
NPI assigned
Jul 13, 2006
Last updated
Nov 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Authorized official

Name
Dr. Fred J Fricke, M.D.NPI 1902821796
Title
Owner / President
Phone
(775) 738-0500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 3167 NV Primary

Addresses

Primary practice location

247 Bluffs Ave Ste 102
Elko, NV 89801-2488

Mailing address

PO Box 1598
Elko, NV 89803-1598
Phone (775) 735-0500

Other names 1

  • Nevada Gastroenterology Doing business as

National Provider Directory

National Provider Directory

Locations

753 Ryland St
Reno, NV 89502
Phone (775) 356-0100

2385 E Prater Way
Ste 207
Sparks, NV 89434
Phone (775) 356-0100

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1689699571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1598",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898031598",
            "telephone_number": "775-735-0500",
            "fax_number": "775-738-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 BLUFFS AVE STE 102",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898012488",
            "telephone_number": "775-738-0500",
            "fax_number": "775-738-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED J FRICKE MD AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "FRICKE",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "775-738-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NV",
            "license": "3167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nevada Gastroenterology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nevada Gastroenterology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elko, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.