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DR. FRED W ROTTNEK M.D.
NPI 1588649271
Family Medicine in Saint Louis, MO

Active since December 14, 2005
1402 S GRAND BLVD, FAMILY AND COMMUNITY MEDICINE, SAINT LOUIS, MO 63104(314) 977-8489 Get Directions Write a Review

NPPES record last updated: July 16, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Fred W Rottnek M.d. NPPES

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

DR. FRED W ROTTNEK M.D. (NPI 1588649271) is an individual family medicine provider in Saint Louis, Missouri, licensed in Missouri (108515) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1588649271
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. FRED W ROTTNEKCredential: M.D.
Location Address1402 S GRAND BLVD, FAMILY AND COMMUNITY MEDICINESaint Louis, MO 63104-1004
Mailing Address1402 S Grand Blvd, Family And Community MedicineSaint Louis, MO 63104-1004 · (314) 977-8489
Phone(314) 977-8489
Sole ProprietorNo
Enumeration DateDecember 14, 2005
Last NPPES UpdateJuly 16, 2015
✔ NPI 1588649271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · 108515
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.
1402 S GRAND BLVD, Saint Louis, MO 63104
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Other Identifiers 3

Medicare ID-Type Unspecified214010753MO
Medicaid204968416MO
Medicare UPINH10399

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.

HALA YAMOUT M.D.
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD, M260
SAINT LOUIS, MO 63104
St. Louis City (314) 977-9853
VICTORIA M WITTGEN
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-9870
ADAM BALES D.O.
Anesthesiology
1402 S GRAND BLVD, M260
SAINT LOUIS, MO 63104
St. Louis City (314) 977-9853
ALLISON NICOLE PODSEDNIK GARDNER MD
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-3811
DR. KATHERINE JASKOWIAK ROBBINS MD
Pathology (Anatomic Pathology & Clinical Pathology)
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-4547
DR. VIVIAN MAI HATHUC D.O.
Pathology (Anatomic Pathology & Clinical Pathology)
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-4547
TERRY J BUJNAK JR. DO
Orthopaedic Surgery
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-3375
MS. FRANCESCA VACCA
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 577-8694

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 Fred Rottnek's NPI number?

The NPI number for Fred Rottnek is 1588649271. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Where is Fred Rottnek located?

Fred Rottnek practices at 1402 S Grand Blvd Family And Community Medicine, Saint Louis, MO 63104. The listed phone number is (314) 977-8489.

What is Fred Rottnek'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 Fred Rottnek was last updated on July 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.