FRED J. POWELL M.D. – NPI #1609078542
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

FRED POWELL is a surgeon located in SAINT AUGUSTINE, FL. NPPES has assigned the NPI number 1609078542 to FRED POWELL on June 04, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 16 years ago on Jul 23, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FRED POWELL below.

NPI Profile for
FRED J. POWELL

NPI Number
1609078542
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
FRED J. POWELL
Credentials
M.D.
Primary location
111 NATURE WALK PARKWAY
SUITE 108
SAINT AUGUSTINE, FL 32092
Phone: (904) 230-7180 Fax: (904) 230-7181
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)
FL ME 80996

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.