Organization Active NPI

Fred W. Gaskin, MDPC

  • Psychiatry Physician
  • Chesterfield, MO
National Provider Identifier
1700049517
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
34748 Issued in MO
Legal business name
FRED W. GASKIN, MDPC
Practice address
222 S Woods Mill Rd
Suite 520 North
Chesterfield, MO 63017-3625
Phone
(314) 205-6744
Fax
(314) 576-2393
NPI assigned
Jul 2, 2008
Last updated
Jul 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Dr. Fred W Gaskin, M.D.
Title
President
Phone
(314) 205-6744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 34748 MO Primary

Addresses

Primary practice location

222 S Woods Mill Rd
Suite 520 North
Chesterfield, MO 63017-3625

Mailing address

222 S Woods Mill Rd
Suite 520 North
Chesterfield, MO 63017-3625
Phone (314) 205-6744

National Provider Directory

National Provider Directory

Locations

222 S Woods Mill Rd
Ste 520N
Chesterfield, MO 63017
Phone (314) 205-6744

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1700049517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S WOODS MILL RD",
            "address_2": "SUITE 520 NORTH",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173625",
            "telephone_number": "314-205-6744",
            "fax_number": "314-576-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S WOODS MILL RD",
            "address_2": "SUITE 520 NORTH",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173625",
            "telephone_number": "314-205-6744",
            "fax_number": "314-576-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED W. GASKIN, MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "GASKIN",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-205-6744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "34748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.