Individual provider Active NPI

Jeffrey Innes Frohock, M.D.

  • Anesthesiology Physician
  • Charleston, SC
National Provider Identifier
1053568287
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MMD.32582 TL Issued in SC
Practice address
125 Doughty St Ste 420
Charleston, SC 29403-5741
Phone
(843) 723-3441
Fax
(843) 805-4040
NPI assigned
Aug 19, 2008
Last updated
Jun 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X TRN9254 FL
Anesthesiology Physician 207L00000X MMD.32582 TL SC Primary

Addresses

Primary practice location

125 Doughty St Ste 420
Charleston, SC 29403-5741

Mailing address

125 Doughty St Ste 420
Charleston, SC 29403-5741
Phone (843) 723-3441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190801003590 NC Practitioner - Anesthesiology 2567509599 Reassigns benefits to 1 organization
I20200416000402 VA Practitioner - Anesthesiology 2567509599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Miami, LM Miller School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Carolina Anesthesia Associates PLLCGroup PAC ID 5092720813, 691 clinicians

Practice addresses (Care Compare)

2410 Montgomery Dr SW
Wilson, NC 27893-4421
Phone (252) 674-1851

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TRN9254FLMDAnesthesiology Physician
MMD.32582 TLSCMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina Anesthesia Associates, PLLC Anesthesiology CurrentSince Jun 20, 2019 Accepting new patients
Anesthesia Associates of Charleston, P.a. PastSince Jun 21, 2020 Accepting new patients

Locations

2080 W Arlington Blvd
Ste B
Greenville, NC 27834
Phone (252) 752-2140

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

2410 Montgomery Dr SW
Wilson, NC 27893
Phone (252) 291-5940

229 Clearfield Ave
Ste 200
Virginia Beach, VA 23462
Phone (757) 312-6300

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275523200000",
    "number": "1053568287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 DOUGHTY ST STE 420",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035741",
            "telephone_number": "843-723-3441",
            "fax_number": "843-805-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 DOUGHTY ST STE 420",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035741",
            "telephone_number": "843-723-3441",
            "fax_number": "843-805-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROHOCK",
        "first_name": "JEFFREY",
        "middle_name": "INNES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-19",
        "last_updated": "2010-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "TRN9254",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "MMD.32582 TL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.