Individual provider Active NPI

Christophe P Frouge, MD PHD

  • Diagnostic Radiology Physician
  • Glendale, AZ
National Provider Identifier
1174512123
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
29077 Issued in AZ
Practice address
5605 W Eugie Ave Ste 110
Glendale, AZ 85304-1273
Phone
(623) 847-2000
NPI assigned
Oct 20, 2005
Last updated
Mar 7, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 29077 AZ Primary

Addresses

Primary practice location

5605 W Eugie Ave Ste 110
Glendale, AZ 85304-1273

Mailing address

2323 W Rose Garden LN
Phoenix, AZ 85027-2530
Phone (623) 931-7999

Other practice location 1

2323 W Rose Garden Ln
Phoenix, AZ 85027-2530
Phone (623) 931-7999

Other identifiers 1

IdentifierTypeStateIssuer
563884MedicaidAZ

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, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
29077AZMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Radiology LTD Diagnostic Radiology PastSince Mar 1, 2021 Accepting new patients
East Valley Diagnostic Imaging LLC Past Accepting new patients
Southwest Medical Associates Inc. Past Accepting new patients
Scottsdale Medical Imaging, LTD Diagnostic Radiology Past Accepting new patients
Page Hospital Past Accepting new patients
Associated Radiologists LTD Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1174512123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 W ROSE GARDEN LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272530",
            "telephone_number": "623-931-7999",
            "fax_number": "623-842-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 W EUGIE AVE STE 110",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041273",
            "telephone_number": "623-847-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2323 W Rose Garden Ln",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850272530",
            "country_code": "US",
            "telephone_number": "623-931-7999",
            "fax_number": "623-842-5640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FROUGE",
        "first_name": "CHRISTOPHE",
        "middle_name": "P",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "29077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "563884",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.