OrganizationActive
Frederick Customeyez in St. Louis
NPI 1912603507 · Clinic/Center · Saint Louis, MO
Frederick Customeyez in St. Louis is a Clinic/Center organization in Saint Louis, MO (NPI 1912603507).
Provider details
- NPI number
- 1912603507
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Frederick Customeyez Prosthetics LLC
- Organization subpart
- Yes
- Authorized official
- Melissa Frederick, Owner(401) 584-3939
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
1834 Craig Rd
Saint Louis, MO 63146-4712
Phone: (401) 584-3939
Street-level locationGet directions
Mailing address
9278 Paradise Dr
Panama City Beach, FL 32413-9625
Registry dates
- Enumerated
- 2023-02-06
- Last updated
- 2025-07-03
- Certified
- 2025-07-03
Frequently asked questions
- What is Frederick Customeyez in St. Louis's NPI number?
- Frederick Customeyez in St. Louis's National Provider Identifier (NPI) is 1912603507, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Frederick Customeyez in St. Louis?
- Frederick Customeyez in St. Louis is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Frederick Customeyez in St. Louis located?
- Frederick Customeyez in St. Louis's practice location on file with NPPES is 1834 Craig Rd, Saint Louis, MO 63146-4712.
- What is Frederick Customeyez in St. Louis's phone number?
- The practice phone number listed in the NPPES registry for Frederick Customeyez in St. Louis is (401) 584-3939.
- Who is the authorized official for Frederick Customeyez in St. Louis?
- The authorized official listed on Frederick Customeyez in St. Louis's NPPES record is Melissa Frederick, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Frederick Customeyez in St. Louis's NPI active?
- Yes — Frederick Customeyez in St. Louis's NPI (1912603507) is active in the NPPES registry as of the last update on 2025-07-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.