NPIMap

Organization Active NPI

Marc L Frost MD LLC

  • Dermatology Physician
  • Indianapolis, IN
National Provider Identifier
1205259173
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
01036233 Issued in IN
Legal business name
MARC L FROST MD LLC
Practice address
9290 Waldemar Rd
Indianapolis, IN 46268-1132
Phone
(317) 875-6880
Fax
(317) 875-6894
NPI assigned
Jan 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Authorized official

Name
Therese Woodard
Title
Office Manager
Phone
(317) 875-6880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 01036233 IN Primary

Addresses

Primary practice location

9290 Waldemar Rd
Indianapolis, IN 46268-1132

Mailing address

9290 Waldemar Rd
Indianapolis, IN 46268-1132
Phone (317) 875-6880

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1205259173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9290 WALDEMAR RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681132",
            "telephone_number": "317-875-6880",
            "fax_number": "317-875-6894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9290 WALDEMAR RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681132",
            "telephone_number": "317-875-6880",
            "fax_number": "317-875-6894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC L FROST MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "THERESE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "317-875-6880"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "IN",
            "license": "01036233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.