Fredrick an, DO
NPI 1194991901 · Internal Medicine Physician · Olympia, WA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fredrick an, DO is a Internal Medicine Physician provider in Olympia, WA (NPI 1194991901).
Provider details
- NPI number
- 1194991901
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- DO29350 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 24800 Se Stark StGresham, OR 97030-3378Phone: (503) 413-8407
- 1717 S J StTacoma, WA 98405-4933Phone: (253) 426-6341Fax: (253) 426-6344
Registry dates
- Enumerated
- 2008-05-01
- Last updated
- 2025-03-19
- Certified
- 2025-03-19
Frequently asked questions
- What is Fredrick an's NPI number?
- Fredrick an's National Provider Identifier (NPI) is 1194991901, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Fredrick an's specialty?
- Fredrick an is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Fredrick an located?
- Fredrick an's practice location on file with NPPES is 413 Lilly Rd Ne, Olympia, WA 98506-5166.
- What is Fredrick an's phone number?
- The practice phone number listed in the NPPES registry for Fredrick an is (360) 491-9480.
- Does Fredrick an accept Medicare?
- Fredrick an is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Fredrick an's NPI active?
- Yes — Fredrick an's NPI (1194991901) is active in the NPPES registry as of the last update on 2025-03-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.