DR. FREDERICK ERWIN HACKLEY M.D.
NPI 1104963800
Family Medicine in Baton Rouge, LA

Q: What is Frederick Hackley's NPI number?

The NPI number for Frederick Hackley is 1104963800. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Q: What is Frederick Hackley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Frederick Hackley was last updated on May 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since January 31, 2007

8535 MYRTLELAKE DR, BATON ROUGE, LA 70810(225) 810-6320 Get Directions Write a Review

NPPES record last updated: May 31, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Frederick Erwin Hackley M.d. NPPES

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

DR. FREDERICK ERWIN HACKLEY M.D. (NPI 1104963800) is an individual family medicine provider in Baton Rouge, Louisiana, licensed in Louisiana (MD.05798R) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1104963800

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. FREDERICK ERWIN HACKLEYCredential: M.D.

Location Address8535 MYRTLELAKE DRBaton Rouge, LA 70810-6631

Mailing Address8535 Myrtlelake DrBaton Rouge, LA 70810-6631 · (225) 810-6320

Phone(225) 810-6320

Sole ProprietorNo

Enumeration DateJanuary 31, 2007

Last NPPES UpdateMay 31, 2013

✔ NPI 1104963800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in LA · MD.05798R

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

8535 MYRTLELAKE DR, Baton Rouge, LA 70810

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Other Identifiers 7

Medicaid1321460LA

Medicare ID-Type Unspecified5B061LA · Group Medicare Number

Medicare PIN521676629LA

Other05798RLA · State License

Medicare PIN52167LA

Medicaid04807394MS

Medicare UPINB63651LA

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 Frederick Hackley's NPI number?

The NPI number for Frederick Hackley is 1104963800. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Frederick Hackley located?

Frederick Hackley practices at 8535 Myrtlelake Dr, Baton Rouge, LA 70810. The listed phone number is (225) 810-6320.

What is Frederick Hackley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Frederick Hackley was last updated on May 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.