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RICHARD C FREDERICK M.D.
NPI 1740211002
Emergency Medicine in Peoria, IL

Active since July 05, 2006
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 655-2553(309) 655-2602 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard C Frederick M.d. NPPES

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

RICHARD C FREDERICK M.D. (NPI 1740211002) is an individual emergency medicine provider in Peoria, Illinois and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1740211002
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameRICHARD C FREDERICKCredential: M.D.
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001
Mailing Address530 Ne Glen Oak AvePeoria, IL 61637-0001 · (309) 655-2000 · Fax (309) 655-7869
Phone(309) 655-2553
Fax(309) 655-2602
Sole ProprietorNo
Enumeration DateJuly 5, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1740211002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
530 NE GLEN OAK AVE, Peoria, IL 61637
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Other Identifiers 3

Medicare UPINC44537
Other800810Medicare Group No.
Medicare PINL00151

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.

DR. DEEPAK S NAIR M.D.
Psychiatry & Neurology (Neurology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
DR. HAMID MAHMOOD ZIA M.D
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Peoria County (309) 624-9011
THOMAS JAMES MCMORROW MD
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2553
ERIC TYLER AMPARAN MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2274
ALEXANDRA ROPER MD
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
JAPMEHR KAUR SANDHU M.B.B.S.
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 624-9351
THOMAS BLACKWELL JR. MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
LUKE KLOFT
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2109

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 Richard Frederick's NPI number?

The NPI number for Richard Frederick is 1740211002. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Richard Frederick located?

Richard Frederick practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 655-2553.

What is Richard Frederick's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Richard Frederick was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.