Individual provider Active NPI

Jonathan Frandsen, M.D.

  • Radiation Oncology Physician
  • Salt Lake City, UT
National Provider Identifier
1093070054
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
8781019-8905 Issued in UT
Practice address
1950 Circle of Hope Dr RM 1570
Salt Lake City, UT 84112-5500
Phone
(801) 581-8781
NPI assigned
Jul 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34749 SC
Radiation Oncology Physician 2085R0001X 8781019-8905 UT Primary

Addresses

Primary practice location

1950 Circle of Hope Dr RM 1570
Salt Lake City, UT 84112-5500

Mailing address

1117 S 1100 E
Spanish Fork
Spanish Fork, UT 84660-2998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170706000446 CO Practitioner - Radiation Oncology 8527290527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Utah School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Colorado West Healthcare SystemGroup PAC ID 3971491887, 35 clinicians

Practice addresses (Care Compare)

2596 F Rd
Grand Junction, CO 81505-1443
Phone (970) 254-3180

Hospital & facility affiliations

  • Community Hospital Hospital, Grand Junction, CO, CCN 060054
  • Intermountain Health St. Mary'S Regional Hospital Hospital, Grand Junction, CO, CCN 060023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34749SCMDInternal Medicine Physician
8781019-8905UTMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado West Healthcare System Current Accepting new patients
Colorado West Healthcare System Radiation Oncology CurrentSince Jul 15, 2017 Accepting new patients
Colorado West Healthcare System CurrentSince Jul 15, 2017 Accepting new patients
Community Medical Group, LLC Past Accepting new patients

Locations

688 23 12 Rd Ste 101
Grand JCT, CO 81505

2351 G Rd
Grand Junction, CO 81505
Phone (970) 242-0920

2373 G Rd
Ste 140
Grand Junction, CO 81505
Phone (970) 644-4345

2373 G Rd
Grand Junction, CO 81505
Phone (970) 242-2429

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1093070054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 S 1100 E",
            "address_2": "SPANISH FORK",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846602998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 CIRCLE OF HOPE DR RM 1570",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841125500",
            "telephone_number": "801-581-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANDSEN",
        "first_name": "JONATHAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-05",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "34749",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "UT",
            "license": "8781019-8905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.