Organization Active NPI

Robert D Fricke MD

  • Gastroenterology Physician
  • Belleville, IL
National Provider Identifier
1861548869
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
ROBERT D FRICKE MD
Practice address
300 W Lincoln St Ste 400
Belleville, IL 62220-1987
Phone
(618) 234-5237
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert Fricke
Title
Provider
Phone
(618) 234-5237

Specialties & licenses 1

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

Addresses

Primary practice location

300 W Lincoln St Ste 400
Belleville, IL 62220-1987

Mailing address

300 W Lincoln St Ste 400
Belleville, IL 62220-1987
Phone (618) 234-5237

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861548869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W LINCOLN ST STE 400",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201987",
            "telephone_number": "618-234-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W LINCOLN ST STE 400",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201987",
            "telephone_number": "618-234-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT D FRICKE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRICKE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "618-234-5237"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.