Active NPI
David Jay Frolich, MD
- Diagnostic Radiology Physician
- Macon, GA
National Provider Identifier
1457341265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0143562
- Practice address
- 770 Pine St Ste 290
Attn: Radiology Department
Macon, GA 31201-7516 - Phone
- (478) 743-1458
- Fax
- (478) 755-1332
- NPI assigned
- Oct 24, 2005
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 0143562 | GA | Primary |
Addresses
Primary practice location
770 Pine St Ste 290
Attn: Radiology Department
Macon, GA 31201-7516
Mailing address
770 Pine St Ste 290
Attn: Radiology Department
Macon, GA 31201-7516
Phone (478) 743-1458
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000006949C | Medicaid | GA |
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 |
|---|---|---|---|
| 0143562 | GA | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404345600000",
"number": "1457341265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 PINE ST STE 290",
"address_2": "ATTN: RADIOLOGY DEPARTMENT",
"city": "MACON",
"state": "GA",
"postal_code": "312017516",
"telephone_number": "478-743-1458",
"fax_number": "478-755-1332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 PINE ST STE 290",
"address_2": "ATTN: RADIOLOGY DEPARTMENT",
"city": "MACON",
"state": "GA",
"postal_code": "312017516",
"telephone_number": "478-743-1458",
"fax_number": "478-755-1332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROLICH",
"first_name": "DAVID",
"middle_name": "JAY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2014-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "0143562",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000006949C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.