Individual provider Active NPI

Robert Allen Frick, DO,DPM,MPH,PT

  • Family Medicine Physician
  • Panama City, FL
National Provider Identifier
1952473308
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A 6345 Issued in CA
Practice address
325TH Medical Group 340 Magnolia Circle
Tyndall Afb
Panama City, FL 32403
Phone
(850) 283-7281
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A 6345 CA Primary

Addresses

Primary practice location

325TH Medical Group 340 Magnolia Circle
Tyndall Afb
Panama City, FL 32403

Mailing address

340 Magnolia Circle
Tyndall Afb
Panama City, FL 32403
Phone (850) 283-7281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A 6345CAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1952473308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 MAGNOLIA CIRCLE",
            "address_2": "TYNDALL AFB",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "32403",
            "telephone_number": "850-283-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325TH MEDICAL GROUP 340 MAGNOLIA CIRCLE",
            "address_2": "TYNDALL AFB",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "32403",
            "telephone_number": "850-283-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRICK",
        "first_name": "ROBERT",
        "middle_name": "ALLEN",
        "credential": "DO,DPM,MPH,PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A 6345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.