Active NPI
Timothy W Frost, M.D.
- Specialist
- Alamogordo, NM
National Provider Identifier
1275575383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 93260
- Practice address
- 1401 10TH St
Suite C
Alamogordo, NM 88310-5012 - Phone
- (505) 437-4533
- Fax
- (505) 437-5009
- NPI assigned
- Jun 12, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 93260 | NM | Primary |
Addresses
Primary practice location
1401 10TH St
Suite C
Alamogordo, NM 88310-5012
Mailing address
1401 10TH St
Ste C
Alamogordo, NM 88310-5012
Phone (505) 437-4533
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201074548 | Other | NM | PRESBYTERIAN |
| 013135 | Other | NM | BCBS |
| 742841473 | Other | NM | TAX ID |
| 44378 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 93260 | NM | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seeberger Dermatology LLC | Current | Accepting new patients |
Locations
1401 10th St
Ste C
Alamogordo, NM 88310
Phone (575) 437-4327
Organizations & group practices 1
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.
-
- Licensed Practical Nurse
- Alamogordo, NM
- NPI 1679242457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496102400000",
"number": "1275575383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 10TH ST",
"address_2": "STE C",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883105012",
"telephone_number": "505-437-4533",
"fax_number": "505-437-5009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 10TH ST",
"address_2": "SUITE C",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883105012",
"telephone_number": "505-437-4533",
"fax_number": "505-437-5009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROST",
"first_name": "TIMOTHY",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2017-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NM",
"license": "93260",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN",
"identifier": "201074548",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "013135",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "742841473",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "44378",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alamogordo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.