Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1114156932 Deactivated / Inactive NPI Male Practitioner

Dr. Frederick David Doe , MD

General Practice • Roswell, NM

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Frederick Doe has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 14, 2009
NPI Deactivation Date July 29, 2019
Total Practice Duration ~10 Years of Practice (2009 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Frederick Doe, MD was a registered General Practice practicing in Roswell, NM. Throughout an active medical career spanning 10 years, Dr. Doe provided care at the practice location at 600 CANONCITO DR until profile deactivation on 2019-07-29.

Practice Location & Contact Primary Location

Practice Address

600 Canoncito Dr

Roswell, NM 882011313

Telephone 5756239017

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Roswell, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 48.0 Yrs
State Avg: 32.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Roswell, NM (115 Statewide)

Telehealth Adoption Rate
50.0% 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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License VA 0101016870

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 29, 2019

Record deactivated on July 29, 2019

NPI Profile Active July 14, 2009

NPI status registered as active in NPPES database

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Updated Practice Location July 14, 2009

Registered at 600 CANONCITO DR, ROSWELL, NM 882011313 (Tel: 5756239017)

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Updated Business Mailing Address July 14, 2009

Registered at 600 CANONCITO DR, ROSWELL, NM 882011313 (Tel: 5756239017)

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Provider Name / Credentials Updated July 14, 2009

Recorded as FREDERICK DOE, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2009

General Practice (License #0101016870 in VA)

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Initial NPI Registration & Enumeration July 14, 2009

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: 1114156932
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2009
Last Update: July 14, 2009
Deactivation Date: July 29, 2019

Mailing Address

600 Canoncito Dr

Roswell, NM 882011313

Phone: 5756239017

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.