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

Frederic C Park III, MD

Individual provider Diagnostic Radiology Physician · NPI 1821189002

Frederic C Park III, MD is a Diagnostic Radiology in Cape Girardeau, Missouri. Graduated from University of Louisville School of Medicine in 1977, 49 years ago. Practices with Cape Radiology Group PC, a 53-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
49
Trained at
University of Louisville School of Medicine
Licensed in
KY
In the registry since
2006
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

70 Doctors Park
Cape Girardeau, MO 63703-4928
Phone: (573) 334-6071
Fax: (812) 471-6650
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 21342 (KY)

Record details

NPI number1821189002
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 27, 2006
Last updated in NPPESAugust 2, 2022
Certification dateAugust 2, 2022
Mailing address70 Doctors Park, Cape Girardeau, MO 63703-4928

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 1977 (49 years in practice)
Group practice Cape Radiology Group Pc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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