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

NPI Status: Active since December 01, 2006

Contact Information

1965 S FREMONT AVE
SUITE 230
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 820-9123
Fax: (417) 820-3935

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  • Individual
  • Male
  • Psychiatry & Neurology
  • Neurology

About TIM FREDERICK

This page provides the complete NPI Profile along with additional information for Tim Frederick, a provider established in Springfield, Missouri with a medical specialization in Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1295803047 assigned on December 2006. The practitioner's primary taxonomy code is 2084N0400X with license number 2004004160 (MO). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1295803047
Provider Name
DR. TIM E. FREDERICK MD
Gender
Male
Entity Type
Individual
Location Address
1965 S FREMONT AVE SUITE 230 SPRINGFIELD, MO 65804
Location Phone
(417) 820-9123
Location Fax
(417) 820-3935
Mailing Address
PO BOX 2580 SPRINGFIELD, MO 65801
Mailing Phone
(417) 829-4620
Mailing Fax
(417) 820-3935
Is Sole Proprietor?
No
Enumeration Date
12-01-2006
Last Update Date
02-11-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Neurology

Taxonomy Code
2084N0400X
Type
Allopathic & Osteopathic Physicians
License No.
2004004160
License State
MO
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
919183268MEDICARE PIN (08)MO 
P00141755OTHER (01)RAILROAD MEDICARE
431560263024OTHER (01)TRICARE
B61956MEDICARE UPIN (02)MO 
208757807MEDICAID (05)MO 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1295803047, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
3
Doubled → 6
Pos 8
0
Unchanged
Pos 9
4
Doubled → 8
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 8 → 16 → 7 3 → 6 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 8 + 5 + 1 + 6 + 0 + 6 + 0 + 8 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1295803047.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
1965 S FREMONT AVE, SUITE 100
SPRINGFIELD, MO 65804
Surgery
1965 S FREMONT AVE, SUITE 100
SPRINGFIELD, MO 65804
Psychiatry & Neurology (Psychiatry)
1965 S FREMONT AVE, SUITE 330
SPRINGFIELD, MO 65804
Nurse Practitioner (Obstetrics & Gynecology)
1965 S FREMONT AVE, SUITE 270
SPRINGFIELD, MO 65804
Physician Assistant
1965 S FREMONT AVE, SUITE 130
SPRINGFIELD, MO 65804
Psychiatry & Neurology (Psychiatry)
1965 S FREMONT AVE, SUITE 330
SPRINGFIELD, MO 65804
Obstetrics & Gynecology
1965 S FREMONT AVE, SUITE 270
SPRINGFIELD, MO 65804
Obstetrics & Gynecology
1965 S FREMONT AVE, SUITE 270
SPRINGFIELD, MO 65804
Nurse Practitioner (Family)
1965 S FREMONT AVE, SUITE 100
SPRINGFIELD, MO 65804
Nurse Practitioner (Family)
1965 S FREMONT AVE, SUITE 230
SPRINGFIELD, MO 65804
Internal Medicine
1965 S FREMONT AVE, SUITE 350
SPRINGFIELD, MO 65804
Psychiatry & Neurology (Neurology)
1965 S FREMONT AVE, SUITE 230
SPRINGFIELD, MO 65804
Nurse Practitioner (Gerontology)
1965 S FREMONT AVE, SUITE 300
SPRINGFIELD, MO 65804
Otolaryngology
1965 S FREMONT AVE, SUITE 120
SPRINGFIELD, MO 65804
Urology
1965 S FREMONT AVE, SUITE 370
SPRINGFIELD, MO 65804
Nurse Practitioner (Family)
1965 S FREMONT AVE, SUITE 120
SPRINGFIELD, MO 65804
Psychologist
1965 S FREMONT AVE, SUITE 310
SPRINGFIELD, MO 65804
Psychiatry & Neurology (Psychiatry)
1965 S FREMONT AVE, SUITE 310
SPRINGFIELD, MO 65804
Durable Medical Equipment & Medical Supplies
1965 S FREMONT AVE
SPRINGFIELD, MO 65804
Durable Medical Equipment & Medical Supplies
1965 S FREMONT AVE, SUITE 100
SPRINGFIELD, MO 65804

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295803047, enumerated as an "individual" on December 01, 2006.

The provider is located at 1965 S FREMONT AVE SUITE 230 SPRINGFIELD, MO 65804 and the phone number is (417) 820-9123.

Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.

The provider might be accepting Accepts: Medicare, Medicaid, Railroad Medicare and Tricare. Please consult your insurance carrier or call the provider to verify.