Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609078542 Individual Practitioner Male Practitioner

Dr. Fred Joe Powell , MD

Surgery - Plastic and Reconstructive Surgery • St. Augustine, FL

Professional Overview & Biography Verified Profile Summary

Dr. Fred Powell, MD is a registered healthcare professional specializing in Surgery - Plastic and Reconstructive Surgery in St. Augustine, FL. Practice services are available at 111 NATURE WALK PARKWAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

111 Nature Walk Parkway
Suite 108

St. Augustine, FL 32092

Telephone 9042307180
Fax 9042307181

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in St. Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
1 Specialists

Practicing in St. Augustine, FL (258 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License FL ME 80996

A surgeon who specializes in plastic and reconstructive surgery.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 23, 2010

NPI status registered as active in NPPES database

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Updated Practice Location July 23, 2010

Registered at 111 NATURE WALK PARKWAY, SUITE 108, ST. AUGUSTINE, FL 32092 (Tel: 9042307180)

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Updated Business Mailing Address July 23, 2010

Registered at 111 NATURE WALK PARKWAY, SUITE 108, ST. AUGUSTINE, FL 32092 (Tel: 9042307180)

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Provider Name / Credentials Updated July 23, 2010

Recorded as FRED POWELL, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2010

Surgery (License #ME 80996 in FL)

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Initial NPI Registration & Enumeration June 04, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609078542
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 04, 2007
Last Update: July 23, 2010
Sole Proprietor: Yes

Mailing Address

111 Nature Walk Parkway, Suite 108

St. Augustine, FL 32092

Phone: 9042307180

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.