Mark Frederick, DO
NPI 1063407609 · Anesthesiology Physician · Jefferson City, MO
Mark Frederick, DO is a Anesthesiology Physician provider in Jefferson City, MO (NPI 1063407609).
Provider details
- NPI number
- 1063407609
- Entity type
- Individual
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- R8B46 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-09-20
- Last updated
- 2007-10-15
Frequently asked questions
- What is Mark Frederick's NPI number?
- Mark Frederick's National Provider Identifier (NPI) is 1063407609, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Frederick's specialty?
- Mark Frederick is listed in the NPPES registry with a primary specialty of Anesthesiology Physician (Allopathic & Osteopathic Physicians).
- Where is Mark Frederick located?
- Mark Frederick's practice location on file with NPPES is 1445 Christy Dr, Jefferson City, MO 65101-2853.
- What is Mark Frederick's phone number?
- The practice phone number listed in the NPPES registry for Mark Frederick is (573) 636-3483.
- Is Mark Frederick's NPI active?
- Yes — Mark Frederick's NPI (1063407609) is active in the NPPES registry as of the last update on 2007-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.