Frontier Direct Care Raymondville

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FRONTIER DIRECT CARE RAYMONDVILLE

Practice address

100 N US Highway 77 Ste K
Raymondville, TX 78580-4010

Phone

(956) 394-0968

Fax

(956) 394-1137

NPI assigned

Nov 30, 2023

Organization subpart

Yes

Parent organization

FRONTIER STAFFING PLLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Peter Lazzopina, MD

Title

Chief Medical Officer

Phone

(302) 545-5224

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Frontier Staffing PLLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Frontier Staffing PLLC

  • Family Medicine Physician
  • Harlingen, TX
  • NPI 1851167381
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Taylor Andrew Sheneman, PA-C

  • Medical Physician Assistant
  • The Woodlands, TX
  • NPI 1154916039
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1043086044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W VAN BUREN AVE STE 2",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785506400",
            "telephone_number": "956-983-9272",
            "fax_number": "956-275-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N US HIGHWAY 77 STE K",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785804010",
            "telephone_number": "956-394-0968",
            "fax_number": "956-394-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER DIRECT CARE RAYMONDVILLE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRONTIER STAFFING PLLC",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "LAZZOPINA",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "302-545-5224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Raymondville, TX
• Providers in Raymondville, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.