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Deactivated NPI 1730124199 Deactivated / Inactive NPI Male Practitioner

Dr. Frederick J Carlock , MD

Anesthesiology • Kennewick, WA

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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 Carlock has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 19, 2006
NPI Deactivation Date July 17, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Frederick Carlock, MD was a registered Anesthesiology practicing in Kennewick, WA. Throughout an active medical career spanning 14 years, Dr. Carlock provided care at the practice location at 900 S AUBURN ST until profile deactivation on 2020-07-17.

Historical Medicare Part B clinical services included anesthesia for exam of colon using an endoscope, anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope, anesthesia for lens surgery. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

900 S Auburn St

Kennewick, WA 993365621

Telephone 2535887911
Fax 2539846674
Associated Practice Facility / Clinic
🏢 Three Rivers Anesthesia Llc Facility NPI 1841248275

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Kennewick, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.3 Yrs
State Avg: 23.7 Yrs
Regional Practice Density
10 Specialists

Practicing in Kennewick, WA (1746 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
73.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00812 Anesthesia for exam of colon using an endoscope
19 19 $523.46 $133.93
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope
12 12 $574.18 $152.17

Medical Specialties & State Licenses

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Makiko Guji

Psychologist - Clinical

NPI 1003959891
David Grenon , CRNA

Nurse Anesthetist, Certified Registered

NPI 1114072725

Certified Registered Nurse Anesthetist

NPI 1144329103

Doctor of Medicine (M.D.)

Dr. David Lai , MD

Anesthesiology

NPI 1265528889

Doctor of Medicine (M.D.)

Dr. Frans Swart , MD

Anesthesiology

NPI 1477608131

Doctor of Medicine (M.D.)

Dr. Lucia Dai , MD

Anesthesiology

NPI 1528165842

Doctor of Medicine (M.D.)

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 17, 2020

Record deactivated on July 17, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 900 S AUBURN ST, KENNEWICK, WA 993365621 (Tel: 2535887911)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 97115, LAKEWOOD, WA 984970115 (Tel: 2535887911)

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Provider Name / Credentials Updated July 08, 2007

Recorded as FREDERICK CARLOCK, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Anesthesiology

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Initial NPI Registration & Enumeration June 19, 2006

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: 1730124199
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2006
Last Update: July 08, 2007
Deactivation Date: July 17, 2020

Mailing Address

Po Box 97115

Lakewood, WA 984970115

Phone: 2535887911

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.