MARK R. FREDERICK DO
NPI 1063407609
Anesthesiology in Jefferson City, MO

Active since September 20, 2005
1445 CHRISTY DR, JEFFERSON CITY, MO 65101(573) 636-3483(573) 636-5315 Get Directions Write a Review

NPPES record last updated: October 15, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark R. Frederick Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK R. FREDERICK DO (NPI 1063407609) is an individual anesthesiology provider in Jefferson City, Missouri, licensed in Missouri (R8B46) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1063407609
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameMARK R. FREDERICKCredential: DO
Location Address1445 CHRISTY DRJefferson City, MO 65101-2853
Mailing Address1445 Christy DrJefferson City, MO 65101-2853 · (573) 636-3483 · Fax (573) 636-5315
Fax(573) 636-5315
Sole ProprietorNo
Enumeration DateSeptember 20, 2005
Last NPPES UpdateOctober 15, 2007
NPI 1063407609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License Licensed in MO · R8B46
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
1445 CHRISTY DR, Jefferson City, MO 65101

Other Identifiers 1

Medicare UPINA12560MO

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
1445 CHRISTY DR
JEFFERSON CITY, MO 65101
Nurse Anesthetist, Certified Registered
1445 CHRISTY DR
JEFFERSON CITY, MO 65101
Anesthesiology
1445 CHRISTY DR
JEFFERSON CITY, MO 65101
Nurse Anesthetist, Certified Registered
1445 CHRISTY DR
JEFFERSON CITY, MO 65101
Anesthesiology
1445 CHRISTY DR
JEFFERSON CITY, MO 65101
Nurse Anesthetist, Certified Registered
1445 CHRISTY DR
JEFFERSON CITY, MO 65101
Anesthesiology
1445 CHRISTY DR
JEFFERSON CITY, MO 65101
Anesthesiology
1445 CHRISTY DR
JEFFERSON CITY, MO 65101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Frederick's NPI number?

The NPI number for Mark Frederick is 1063407609. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Mark Frederick located?

Mark Frederick practices at 1445 Christy Dr, Jefferson City, MO 65101. The listed phone number is (573) 636-3483.

What is Mark Frederick's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

When was this NPI record last updated?

The NPPES record for Mark Frederick was last updated on October 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.