TIMOTHY C. FREY DO NPI 1447298385

NPI Information

NPI: 1447298385
Provider Name: TIMOTHY C. FREY, DO
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
5601 N. ANTIOCH
CREEKWOOD FAMILY CARE, STE. 12
GLADSTONE, MO
ZIP 64119
Phone: (816) 452-8000
Get Directions

Timothy C. Frey, DO is a family medicine in Gladstone, MO with 44 years of experience. The provider is 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. Timothy C. Frey, DO NPI is 1447298385. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5601 N. ANTIOCH
CREEKWOOD FAMILY CARE, STE. 12
GLADSTONE, MO
ZIP 64119
Phone: (816) 452-8000
Fax: (816) 455-2383

The NPI 1447298385 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 11/3/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		05-19466	KANSAS	No
2	207Q00000X	Family Medicine		R7C61	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	080171268	OTHER	KANSAS	RR MEDICARE
2	18960020	OTHER		CFU BCBS
3	D16903	MEDICARE UPIN
4	157695XX	OTHER		PREFERRED CARE OF NY
5	J615127A	MEDICARE PIN	KANSAS
6	10001637501	OTHER		CHP PIC HILLS
7	326933	OTHER		FIRSTGUARD KUMW UC
8	22039026	OTHER		BCBS PIC HILLS UC
9	3732650	OTHER		AETNA KUMW UC
10	2057247	OTHER		AETNA CFC
11	25562039	OTHER		BCBS KUMW UC
12	100391550A	MEDICAID	KANSAS
13	10001637500	OTHER		CHP CFC
14	481159444	OTHER		JAYHAWK TAX ID
15	39415017	OTHER		WW URGENT CARE
16	11207011	OTHER		BCBS CFC
17	1186358	OTHER		AETNA PICS HILLS UC
18	J615127	MEDICARE PIN	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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