Active NPI
Fred J Fricke MD and Associates
- Gastroenterology Physician
- Elko, NV
National Provider Identifier
1689699571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 3167
- Legal business name
- FRED J FRICKE MD AND ASSOCIATES
- Practice address
- 247 Bluffs Ave Ste 102
Elko, NV 89801-2488 - Phone
- (775) 738-0500
- Fax
- (775) 738-0555
- NPI assigned
- Jul 13, 2006
- Organization subpart
- No
NPPES NPI Registry
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.
- Title
- Owner / President
- Phone
- (775) 738-0500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 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 identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002016010 | Medicaid | NV |
Other names 1
- Nevada Gastroenterology
National Provider Directory
National Provider DirectoryLocations
1825 Pinion Rd
Ste E
Elko, NV 89801
Phone (775) 400-1660
1775 Browning Way
Ste 102
Elko, NV 89801
Phone (775) 299-4555
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 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Reno, NV
- NPI 1629032503
-
- Gastroenterology Physician
- Reno, NV
- NPI 1457315764
-
- Gastroenterology Physician
- Sparks, NV
- NPI 1346354917
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002016010",
"state": "NV"
}
],
"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.