Timothy J. Fricker, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L2256 Issued in TX

Practice address

230 N Rufe Snow Dr
Keller, TX 76248-4226

Phone

(817) 337-5503

Fax

(817) 337-0110

NPI assigned

Apr 14, 2006

Last updated

May 25, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Edmond Pediatrics

  • Pediatrics Physician
  • Edmond, OK
  • NPI 1548505258
  NPD
• Acs Primary Care Physicians Southwest, PA

  • Emergency Medicine Physician
  • Gainesville, TX
  • NPI 1538101019
  NPD (past)
• Omar a. Gomez, M.D.,P.a.

  dba Kid Care Pediatrics

  • Pediatrics Physician
  • Fort Worth, TX
  • NPI 1164541967
  NPD (past)
• Omar a. Gomez, M.D.,P.a.

  dba Kid Care Pediatrics

  • Pediatrics Physician
  • Keller, TX
  • NPI 1710006598
  NPD (past)
• Mercy Hospital Oklahoma City, Inc

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1184721722
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274745600000",
    "number": "1891759023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N RUFE SNOW DR",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762484226",
            "telephone_number": "817-337-5503",
            "fax_number": "817-337-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N RUFE SNOW DR",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762484226",
            "telephone_number": "817-337-5503",
            "fax_number": "817-337-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRICKER",
        "first_name": "TIMOTHY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2010-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L2256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-GROUP",
            "identifier": "0046KV",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KELLER GROUP NPI",
            "identifier": "1710006598",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FORT WORTH GROUP NPI",
            "identifier": "1164541967",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8K6662",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teara Fowler
• Katherine Elizabeth Francis, LCSW-S
• Martha Franek-Montanez, LPC
• McKenzie M Franklin
• Megan Wilson Frantz Kaspar, M.S.
• Kelsie Christine Friesz, OTR
• Jolina C Frye
• Chanel Funches, RBT
• G. Stan Preece, DDS
• Maurice R Gagnon, MD

• Pediatrics Physician in Keller, TX
• Providers in Keller, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.