MARK R. FREDERICK (DO) – Anesthesiology Physician, NPI 1063407609

MARK R. FREDERICK (DO) is a healthcare provider. based in Jefferson city, Missouri. specializing in Anesthesiology Physician. They hold the professional credentials DO. They hold a License No. R8B46 (MO). The NPI Number for MARK R. FREDERICK (DO) is 1063407609

Main info

Male
Name
MARK R. FREDERICK (DO)
NPI
1063407609
Phone
(573) 636-3483
Address
1445 CHRISTY DR
Enumeration Date
20 September 2005
Last Update Date
15 October 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MARK R. FREDERICK (DO)

  • 1445, Christy Drive, Jefferson City, Cole County, Missouri, 65101, United States

    JEFFERSON CITY, MO 651012853

    Phone: (573) 636-3483

    Fax: (573) 636-5315

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65101)

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Reviews

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Frequently asked questions

Where can patients find MARK R. FREDERICK (DO)'s NPI?
You can confirm MARK R. FREDERICK (DO) with NPI 1063407609; it appears in the national provider directory.
Does this profile mean MARK R. FREDERICK (DO) is currently active?
Yes — MARK R. FREDERICK (DO) appears active in the national provider directory.
What kind of provider is MARK R. FREDERICK (DO)?
The page reflects Anesthesiology Physician for MARK R. FREDERICK (DO). Clinical services aligned with this taxonomy classification.
What location shows for MARK R. FREDERICK (DO)?
We surface Jefferson City, Missouri for MARK R. FREDERICK (DO) based on available NPPES addresses.
What if Jefferson City, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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