MICHAEL CLARK FRETER, s.t. — NPI 1093833220 (Licensed & Credentialed Specialist/Technologist, Other, Surgical Technologist in TULSA, OK)

CMS-1500 Box 24J / 33a • NPI

1093833220

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

246ZS0410X

Licensed & Credentialed Specialist/Technologist, Other, Surgical Technologist

Box 32 Service Location & ZIP+4

1809 E 13TH ST, SUITE #400, TULSA, OK, 74104-4419

✓ 9-Digit EDI 837 ZIP+4 (74104-4419)

Practice Phone & Referral Fax

(918) 599-8200

Fax: (918) 583-4678

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1093833220 (MICHAEL CLARK FRETER, s.t.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1093833220` (NPI-1 Individual Practitioner)
Provider / Legal Name	MICHAEL CLARK FRETER, s.t.
Plain-English Specialty	Licensed & Credentialed Specialist/Technologist, Other, Surgical Technologist NUCC Code: `246ZS0410X` (Specialist/Technologist, Other, Surgical Technologist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1809 E 13TH ST, SUITE #400, TULSA, OK, 74104-4419
Practice Telephone / Fax	Tel: (918) 599-8200 \| Fax: (918) 583-4678
Administrative Mailing Address	11251 WESTFALL RD, SKIATOOK, OK, 74070-5289
Enumeration & Last Sync	Enumerated: 2007-03-26 \| CMS Record Updated: 2007-07-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1809 E 13TH ST, SUITE #400, TULSA, OK, 74104-4419

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Plain-English Taxonomy & CMS Crosswalk (246ZS0410X)

What Does Taxonomy Code 246ZS0410X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 246ZS0410X translates to:
"Licensed & Credentialed Specialist/Technologist, Other, Surgical Technologist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Specialist/Technologist, Other, Surgical Technologist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MICHAEL CLARK FRETER, s.t.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`246ZS0410X` — Specialist/Technologist, Other, Surgical Technologist Plain English: Licensed & Credentialed Specialist/Technologist, Other, Surgical Technologist	State: N/A \| License: `none` \| Primary: Yes (Primary)

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MICHAEL CLARK FRETER, s.t. (NPI #1093833220)