Individual provider Active NPI

Jonathan Frego, M.D.

  • Family Medicine Physician
  • Jonesboro, AR
National Provider Identifier
1285845727
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-5645 Issued in AR
Practice address
223 E Jackson Ave
Jonesboro, AR 72401-3119
Phone
(870) 972-4287
Fax
(870) 934-0575
NPI assigned
May 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-5645 AR Primary

Addresses

Primary practice location

223 E Jackson Ave
Jonesboro, AR 72401-3119

Mailing address

223 E Jackson Ave
Jonesboro, AR 72401-3119
Phone (870) 972-4287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20080904000019 AR Practitioner - Family PracticePractitioner - Emergency Medicine 4688740392 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Piggott Community Hospital Family Medicine CurrentSince Jan 1, 2015 Accepting new patients
Piggott Community Hospital CurrentSince Jan 1, 2015 Accepting new patients
St Bernards Hospital Inc CurrentSince Apr 1, 2015 Accepting new patients
St Bernards Hospital Inc. CurrentSince Apr 1, 2015 Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients
Doctors Health Group, Inc Family Medicine Past Accepting new patients

Locations

1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440

225 E Jackson Ave
Jonesboro, AR 72401
Phone (870) 207-1630

225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630

1206 Gordon Duckworth Dr
Piggott, AR 72454
Phone (870) 598-3881

310 Falls Blvd S
Wynne, AR 72396
Phone (870) 208-2151

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274918400000",
    "number": "1285845727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 E JACKSON AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013119",
            "telephone_number": "870-972-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 E JACKSON AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013119",
            "telephone_number": "870-972-4287",
            "fax_number": "870-934-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREGO",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2010-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-5645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.