Fredrick C House, MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

12490 Issued in GA

Practice address

3646 Wheeler Rd
Augusta, GA 30909-6519

Phone

(706) 863-0410

Fax

(706) 863-9368

NPI assigned

Jun 28, 2006

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

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699703017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3646 WHEELER RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096519",
            "telephone_number": "706-863-0410",
            "fax_number": "706-863-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3646 WHEELER RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096519",
            "telephone_number": "706-863-0410",
            "fax_number": "706-863-9368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSE",
        "first_name": "FREDRICK",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "12490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000159541A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohammad Monir Hossain, PTA
• Hossam E Fadel, MD, PC
• Chistopher Peter Houk, MD
• Patrick Houlihan, DO
• Amy S. House, PHD
• Housecalls of Augusta Corp (Housecalls of Augusta)
• Harrison Houston, MD
• Sante Houston
• Tina Houston
• Jessica Howard, ATC

• Specialist in Augusta, GA
• Providers in Augusta, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.