Keith J. Frederick, DO
Keith J. Frederick is a Orthopaedic Surgery Physician provider (Orthopaedic Surgery) practicing in Rolla, MO, registered in the NPPES registry with NPI 1366552762 since 2006. The credential DO stands for Doctor of Osteopathic Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1366552762 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Keith J. Frederick |
| Credential | DO |
| Sex | Male |
| Practice address | 1000 W 10TH ST, Rolla, MO, 65401 |
| Phone | 5733649000 |
| Fax | 5732022484 |
| Enumeration date | 2006-08-30 |
| Last updated in NPPES | 2024-12-27 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery Physician | Primary | R4D88 | MO |
DO — Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 242256303 | Medicaid | MO | — |
Copy-ready billing details
Provider: Keith Frederick, DO NPI: 1366552762 Taxonomy: 207X00000X (Orthopaedic Surgery Physician) Address: 1000 W 10TH ST, Rolla, MO, 65401
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1598761231 | Glenn Kunkel | Individual | Anesthesiology Physician | Rolla, MO |
| 1578559076 | Phelps County Regional Medical Center | Organization | Skilled Nursing Facility | Rolla, MO |
| 1295717346 | Ilya Stone | Individual | Anatomic Pathology & Clinical Pathology Physician | Rolla, MO |
| 1649255894 | Glenn A Kunkel MD LLC | Organization | Pain Medicine (Anesthesiology) Physician | Rolla, MO |
| 1265412100 | Matthew Rieth | Individual | Physical Medicine & Rehabilitation Physician | Rolla, MO |
| 1720058647 | Karen Zang | Individual | Certified Registered Nurse Anesthetist | Rolla, MO |
| 1568432490 | Jeffrey Colench | Individual | Certified Registered Nurse Anesthetist | Rolla, MO |
| 1558331843 | Kevin Pickens | Individual | Certified Registered Nurse Anesthetist | Rolla, MO |
Verify this record
Cross-check NPI 1366552762 against the authoritative CMS record: view Keith J. Frederick on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Keith Frederick?
Where does Keith Frederick practice?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-12-27.