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DR. RANDY SCOTT FREDERICK D.C.
NPI 1154411247
Chiropractor in Harrisburg, PA

Active since October 13, 2006Accepts Medicare Assignment
4607 LOCUST LN, HARRISBURG, PA 17109(717) 545-6063(717) 545-8510 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Randy Scott Frederick D.c. NPPES

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

DR. RANDY SCOTT FREDERICK D.C. (NPI 1154411247) is an individual chiropractor in Harrisburg, Pennsylvania, licensed in Pennsylvania (DC005233R) and active in the NPI registry since October 2006. He is a graduate of Other (1982).

NPPES Registry Identity

NPI1154411247
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. RANDY SCOTT FREDERICKCredential: D.C.
Location Address4607 LOCUST LNHarrisburg, PA 17109-4449
Mailing Address4607 Locust LnHarrisburg, PA 17109-4449 · (717) 545-6063 · Fax (717) 545-8510
Phone(717) 545-6063
Fax(717) 545-8510
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateOctober 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1154411247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in PA · DC005233R
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
4607 LOCUST LN, Harrisburg, PA 17109
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Other Identifiers 2

Medicare ID-Type Unspecified478570PA
Medicare UPINU27859PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Randy Scott Frederick D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820168552
PECOS Enrollment IDI20080606000060

Other Providers at the Same Location NPPES

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

CHIROPLUS OF LOCUST LANE, INC
Chiropractor
4607 LOCUST LN
HARRISBURG, PA 17109
Dauphin County (717) 545-6063

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 Randy Frederick's NPI number?

The NPI number for Randy Frederick is 1154411247. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Randy Frederick located?

Randy Frederick practices at 4607 Locust Ln, Harrisburg, PA 17109. The listed phone number is (717) 545-6063.

What is Randy Frederick's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Randy Frederick enrolled in Medicare?

Yes. Randy Frederick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Randy Frederick was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.