Individual
THOMAS W FREDERICKSON
Active
Individual
THOMAS W FREDERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-26524
KS
207R00000X
Internal Medicine Physician
108755
MO
207R00000X
Internal Medicine Physician
Primary
26061
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100293960B
—
KS
05
—
100293960D
—
KS
01
—
110199606
RR MCR
MO
05
—
208471714
—
MO
01
—
2292243
AETNA
—
01
—
23432040
BCBS
—
01
—
738529
FIRST HEALTH
—
01
—
P00652380
RR MCR
KS
Enumeration date
08/24/2005
Last updated
09/29/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up