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DR. TIM E. FREDERICK MD
NPI 1295803047
Psychiatry & Neurology - Neurology in Springfield, MO

Active since December 01, 2006
1965 S FREMONT AVE, SUITE 230, SPRINGFIELD, MO 65804(417) 820-9123(417) 820-3935 Get Directions Write a Review

NPPES record last updated: February 11, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Tim E. Frederick Md NPPES

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

DR. TIM E. FREDERICK MD (NPI 1295803047) is an individual neurology provider in Springfield, Missouri, licensed in Missouri (2004004160) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1295803047
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. TIM E. FREDERICKCredential: MD
Location Address1965 S FREMONT AVE, SUITE 230Springfield, MO 65804-2201
Mailing AddressPo Box 2580Springfield, MO 65801-2580 · (417) 829-4620 · Fax (417) 829-4316
Phone(417) 820-9123
Fax(417) 820-3935
Sole ProprietorNo
Enumeration DateDecember 1, 2006
Last NPPES UpdateFebruary 11, 2011
✔ NPI 1295803047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in MO · 2004004160
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

1965 S FREMONT AVE, Springfield, MO 65804
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Other Identifiers 5

Medicare PIN919183268MO
OtherP00141755Railroad Medicare
Other431560263024Tricare
Medicare UPINB61956MO
Medicaid208757807MO

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.

MRS. WENDY L MURRAY FNP
Nurse Practitioner (Family)
1965 S FREMONT AVE, SUITE 100
SPRINGFIELD, MO 65804
Greene County (417) 820-3800
DR. ROBERT M CAVAGNOL MD
Surgery
1965 S FREMONT AVE, SUITE 100
SPRINGFIELD, MO 65804
Greene County (417) 820-3800
DR. DONALD AUGUST BALUN JR. MD
Psychiatry & Neurology (Psychiatry)
1965 S FREMONT AVE, SUITE 330
SPRINGFIELD, MO 65804
Greene County (417) 820-8180
MS. MARILYN S. TRUMBLE WHNP
Nurse Practitioner (Obstetrics & Gynecology)
1965 S FREMONT AVE, SUITE 270
SPRINGFIELD, MO 65804
Greene County (417) 820-3890
MRS. ALLISON K. ROSS PA-C
Physician Assistant
1965 S FREMONT AVE, SUITE 130
SPRINGFIELD, MO 65804
Greene County (417) 820-5150
DR. WILLIS H HOYT MD
Psychiatry & Neurology (Psychiatry)
1965 S FREMONT AVE, SUITE 330
SPRINGFIELD, MO 65804
Greene County (417) 820-8180
DR. JULIETTE A. GIBBONS MD
Obstetrics & Gynecology
1965 S FREMONT AVE, SUITE 270
SPRINGFIELD, MO 65804
Greene County (417) 820-3890
DR. DARREN L. LEHNERT MD
Obstetrics & Gynecology
1965 S FREMONT AVE, SUITE 270
SPRINGFIELD, MO 65804
Greene County (417) 820-3890

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 Tim Frederick's NPI number?

The NPI number for Tim Frederick is 1295803047. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Tim Frederick located?

Tim Frederick practices at 1965 S Fremont Ave Suite 230, Springfield, MO 65804. The listed phone number is (417) 820-9123.

What is Tim Frederick's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Tim Frederick was last updated on February 11, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.