Active NPI
Frank Thomas Angotti III, M.D.
- Child & Adolescent Psychiatry Physician
- Bridgeport, WV
National Provider Identifier
1114128634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 25460
- Practice address
- 120 Medical Park Dr
United Summit Center - Frank Angotti MD
Bridgeport, WV 26330-9012 - Phone
- (304) 848-2000
- Fax
- (304) 848-2020
- NPI assigned
- May 31, 2007
- Last updated
- Mar 5, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25460 | WV | |
| Psychiatry Physician | 2084P0800X | 2009-00086 | NC | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 25460 | WV | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 2009-00086 | NC |
Addresses
Primary practice location
120 Medical Park Dr
United Summit Center - Frank Angotti MD
Bridgeport, WV 26330-9012
Mailing address
120 Medical Park Dr
United Summit Center - Frank Angotti MD
Bridgeport, WV 26330-9012
Phone (304) 848-2000
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 |
|---|---|---|---|
| 2009-00086 | NC | MD | Child & Adolescent Psychiatry Physician |
| 25460 | WV | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425513600000",
"number": "1114128634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 MEDICAL PARK DR",
"address_2": "UNITED SUMMIT CENTER - FRANK ANGOTTI MD",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263309012",
"telephone_number": "304-848-2000",
"fax_number": "304-848-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 MEDICAL PARK DR",
"address_2": "UNITED SUMMIT CENTER - FRANK ANGOTTI MD",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263309012",
"telephone_number": "304-848-2000",
"fax_number": "304-848-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGOTTI",
"first_name": "FRANK",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-31",
"last_updated": "2015-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WV",
"license": "25460",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "2009-00086",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "WV",
"license": "25460",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NC",
"license": "2009-00086",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.