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

Frederick John Jaecklein, MD

Individual provider Vascular Surgery Physician · NPI 1215343553

Frederick John Jaecklein, MD is a Vascular Surgery in Memphis, Tennessee. Graduated from Jefferson Medical College of Thomas Jefferson University in 2009, 17 years ago. Practices with UT Methodist Physicians LLC, a 124-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Tennessee.

Years since qualifying
17
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
MI, TN
In the registry since
2014
Specialties on file
2
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

1211 Union Ave Ste 300
Memphis, TN 38104-6655
Phone: (901) 272-6018
Fax: (901) 201-4203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6401 Poplar Ave Ste 540, Memphis, TN 38119-4823 — (901) 478-0900

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 63733 (TN)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 4301095037 (MI)

Record details

NPI number1215343553
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 8, 2014
Last updated in NPPESJune 6, 2025
Certification dateJune 6, 2025
Mailing address1211 Union Ave Ste 330, Memphis, TN 38104-6655

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 2009 (17 years in practice)
Group practice Ut Methodist Physicians Llc — 124 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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