Active NPI
Carol S Frank, MD
- Internal Medicine Physician
- Coos Bay, OR
National Provider Identifier
1023049541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD174311
- Practice address
- 1750 Thompson Rd
Coos Bay, OR 97420-2100 - Phone
- (541) 269-0333
- Fax
- (541) 269-7389
- NPI assigned
- Jul 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | K1440 | TX | |
| Internal Medicine Physician | 207R00000X | MD174311 | OR | Primary |
Addresses
Primary practice location
1750 Thompson Rd
Coos Bay, OR 97420-2100
Mailing address
1750 Thompson Road
Coos Bay, OR 97420-2100
Phone (541) 269-0333
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500691732 | Medicaid | OR | |
| 113714302 | Medicaid | TX | |
| 113714304 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K1440 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians and Allied Health Professionals Group, PA | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- cfrank132094@secure.stcharleshealthcare.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1528011814
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521072000000",
"number": "1023049541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 THOMPSON ROAD",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974202100",
"telephone_number": "541-269-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 THOMPSON RD",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974202100",
"telephone_number": "541-269-0333",
"fax_number": "541-269-7389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANK",
"first_name": "CAROL",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2018-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "K1440",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD174311",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500691732",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113714302",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113714304",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Coos Bay, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.