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

Q: 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.

Q: What is Tim Frederick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tim Frederick was last updated on February 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 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: August 16, 2026.

On this page

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.

JENNIFER ANN DALE RPH

Pharmacist

1965 S FREMONT AVE, SUITE 140
SPRINGFIELD, MO 65804

Greene County (417) 820-3577

DR. ROBERT M CAVAGNOL MD

Surgery

1965 S FREMONT AVE, SUITE 100
SPRINGFIELD, MO 65804

Greene County (417) 820-3800

MATTHEW C LUNDIEN MD

Pediatrics (Pediatric Pulmonology)

1965 S FREMONT AVE, STE 220
SPRINGFIELD, MO 65804

Greene County (417) 820-9055

MERCY CLINIC-SPRINGFIELD COMMUNITIES

Durable Medical Equipment & Medical Supplies

1965 S FREMONT AVE, SUITE 130
SPRINGFIELD, MO 65804

Greene County (417) 820-5150

DONNA MARIE IRISH APRN-BC, GNP

Nurse Practitioner (Gerontology)

1965 S FREMONT AVE, SUITE 300
SPRINGFIELD, MO 65804

Greene County (417) 820-2936

DR. MARK J. WALTERSKIRCHEN M.D.

Urology

1965 S FREMONT AVE, SUITE 370
SPRINGFIELD, MO 65804

Greene County (417) 820-0300

CHRISTOPHER A CHAFFIN PA

Physician Assistant

1965 S FREMONT AVE, SUITE 100
SPRINGFIELD, MO 65804

Greene County (417) 820-3800

DR. MARIA C. DELA ROSA MD

Internal Medicine (Geriatric Medicine)

1965 S FREMONT AVE, SUITE 300
SPRINGFIELD, MO 65804

Greene County (417) 820-3760

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.