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

Robert Ray Frederick, PA

Individual provider Medical Physician Assistant · NPI 1619204690

Robert Ray Frederick, PA is a Medical Physician Assistant in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2009.

Licensed in
OK
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

3366 NW Expy Ste 730
Oklahoma City, OK 73112-4454
Phone: (405) 945-4905
Fax: (405) 945-4906
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA457 (OK)

Record details

NPI number1619204690
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 11, 2009
Last updated in NPPESNovember 11, 2009

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