MR. FREDRICK WILLIAM SHORT DO
NPI 1780637868
Family Medicine in Tonganoxie, KS

Q: What is Fredrick Short's NPI number?

The NPI number for Fredrick Short is 1780637868. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Q: What is Fredrick Short's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Fredrick Short was last updated on September 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 May 18, 2006

21107 DONAHOO RD, TONGANOXIE, KS 66086(913) 742-4084(913) 742-4086 Get Directions Write a Review

NPPES record last updated: September 24, 2013. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Mr. Fredrick William Short Do NPPES

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

MR. FREDRICK WILLIAM SHORT DO (NPI 1780637868) is an individual family medicine provider in Tonganoxie, Kansas, licensed in Kansas (0520840) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1780637868

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMR. FREDRICK WILLIAM SHORTCredential: DO

Location Address21107 DONAHOO RDTonganoxie, KS 66086-4153

Mailing AddressPo Box 996Tonganoxie, KS 66086-0996 · (913) 742-4084 · Fax (913) 742-4086

Phone(913) 742-4084

Fax(913) 742-4086

Sole ProprietorNo

Enumeration DateMay 18, 2006

Last NPPES UpdateSeptember 24, 2013

✔ NPI 1780637868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in KS · 0520840✔ Licensed in MO · R4C55

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.

21107 DONAHOO RD, Tonganoxie, KS 66086

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Other Identifiers 5

Medicare ID-Type Unspecified380001404Railroad

Other09549174Bcbs

Medicare PIN110478KS

Medicare UPINC52055

Medicaid100230280CKS

Other Providers at the Same Location NPPES 7

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

KIMBERLY M BUCKLEY ARNP

Nurse Practitioner (Family)