Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeffrey Alan Frederick, PA-C

Individual provider Medical Physician Assistant · NPI 1093743957

Jeffrey Alan Frederick, PA-C is a Physician Assistant in Norman, Oklahoma. Qualified in 1998, 28 years ago. Practices with Oklahoma Otolaryngology Associates LLC, a 15-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
28
Licensed in
OK
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3650 W Rock Creek Rd 110A
Norman, OK 73072-2202
Phone: (405) 364-2666
Fax: (405) 364-9627
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA 936 (OK)

Record details

NPI number1093743957
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 29, 2006
Last updated in NPPESJuly 15, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Oklahoma Otolaryngology Associates Llc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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