IndividualActive
Fredrick Wilson, DO
NPI 1124076047 · Family Medicine Physician · Cleveland, OH
Provider details
- NPI number
- 1124076047
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 34003543W (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
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
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone: (800) 223-2273
Street-level locationGet directions
Mailing address
6000 W Creek Rd
Independence, OH 44131-2139
Registry dates
- Enumerated
- 2006-05-04
- Last updated
- 2008-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.