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

Marc K Frederick

Individual provider Physician Assistant · NPI 1083189831

Marc K Frederick is a Physician Assistant in Salt Lake City, Utah. Graduated from University of Utah School of Medicine in 2019, 7 years ago. Practices with Emergency Physicians Integrated Care LLC, a 203-clinician group and accepts Medicare assignment.

Years since qualifying
7
Trained at
University of Utah School of Medicine
In the registry since
2018
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Practice location Address checks out

2216 S Foothill Dr Apt 310G
Salt Lake City, UT 84109-3998
Phone: (517) 420-8771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1083189831
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 8, 2018
Last updated in NPPESOctober 8, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Emergency Physicians Integrated Care Llc — 203 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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