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ROBERT RAY FREDERICK PA
NPI 1619204690
Physician Assistant - Medical in Oklahoma City, OK

Active since November 11, 2009
3366 NW EXPRESSWAY STE 730, OKLAHOMA CITY, OK 73112(405) 945-4905(405) 945-4906 Get Directions Write a Review

NPPES record last updated: November 11, 2009. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Robert Ray Frederick Pa NPPES

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

ROBERT RAY FREDERICK PA (NPI 1619204690) is an individual medical provider in Oklahoma City, Oklahoma, licensed in Oklahoma (PA457) and active in the NPI registry since November 2009.

NPPES Registry Identity

NPI1619204690
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameROBERT RAY FREDERICKCredential: PA
Location Address3366 NW EXPRESSWAY STE 730Oklahoma City, OK 73112-4454
Mailing Address3366 Nw Expressway Ste 730Oklahoma City, OK 73112-4454 · (405) 945-4905 · Fax (405) 945-4906
Phone(405) 945-4905
Fax(405) 945-4906
Sole ProprietorNo
Enumeration DateNovember 11, 2009
✔ NPI 1619204690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OK · PA457
3366 NW EXPRESSWAY STE 730, Oklahoma City, OK 73112
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Other Providers at the Same Location NPPES

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

MELISSA REDDING PA-C
Physician Assistant (Medical)
3366 NW EXPRESSWAY STE 730
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 945-4905

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 Robert Frederick's NPI number?

The NPI number for Robert Frederick is 1619204690. It was assigned to this individual provider in the NPPES registry on November 11, 2009.

Where is Robert Frederick located?

Robert Frederick practices at 3366 NW Expressway Ste 730, Oklahoma City, OK 73112. The listed phone number is (405) 945-4905.

What is Robert Frederick's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Robert Frederick was last updated on November 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.