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Frederic J Van Dis, MD

Cardiovascular Disease Physician in Roseburg, OR · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093786261

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Registry record

Entity type Individual (Type 1)
Name Frederic J Van Dis
Credential MD
Sex Male
Practice address 2801 Nw Mercy Dr, Ste. 300, Roseburg, OR, 97471
Phone (541) 677-1555
Fax (541) 677-6543
Enumeration date Jan 27, 2006
Last updated in NPPES May 26, 2020

Taxonomy & licenses

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians · License MD12356 (OR) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
060070869 Other OR RAILROAD MEDICARE
MD12356 Other OR LICENSE
114173 Medicaid OR -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Frederic Van Dis practice?
The practice location on file with NPPES is in Roseburg, OR. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Frederic Van Dis?
The National Provider Identifier (NPI) for Frederic Van Dis is 1093786261, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-05-26.