Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Gary A. Frederick, MD

Individual provider Family Medicine Physician · NPI 1194723213

Dr. Gary A. Frederick, MD is a Family Practice in Shattuck, Oklahoma. Graduated from Louisiana State University School of Medicine in New Orleans in 1980, 46 years ago. Practices with Hemphill County Hospital District, a 12-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
46
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
OK
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

905 S Main St
Shattuck, OK 73858-9205
Phone: (580) 938-2551
Fax: (580) 938-2118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 15799 (OK)

Record details

NPI number1194723213
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 12, 2005
Last updated in NPPESOctober 21, 2009
Mailing address905 S Main St, Shattuck, OK 73858-9205

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 1980 (46 years in practice)
Group practice Hemphill County Hospital District — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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