Active NPI
Carrie Frost, MD
- Pediatrics Physician
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 015746
- Practice address
- 180 Park Ave
Portland, ME 04102-2957 - Phone
- (207) 874-2141
- Fax
- (207) 874-2164
- NPI assigned
- May 23, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 015746 | ME | Primary |
Addresses
Primary practice location
180 Park Ave
Portland, ME 04102-2957
Mailing address
25A June St
Sanford, ME 04073-2642
Phone (207) 490-7334
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609120856 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150918000103 | ME | Practitioner - Pediatric Medicine | 4082638176 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015746 | ME | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Bridgton Hospital | Current | Accepting new patients | |
| Bridgton Hospital | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Parkland Physician Services, Inc. | Past | Accepting new patients | |
| Parkland Physician Services Inc | Past | Accepting new patients |
Locations
1 Medical Dr
Biddeford, ME 04005
Phone (207) 283-7000
10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000
12 High St
Ste 301
Lewiston, ME 04240
Phone (207) 795-5730
300 Main St
Lewiston, ME 04240
Phone (207) 795-2400
364 Main St
Lewiston, ME 04240
Phone (207) 795-5646
25A June St
Sanford, ME 04073
Phone (207) 324-8311
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
- carriefrost@mgh.allscriptsdirect.net
Organizations & group practices 8
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.
-
- Medicare Defined Swing Bed Hospital Unit
- Bridgton, ME
- NPI 1477691467
-
- Community/Retail Pharmacy
- Lewiston, ME
- NPI 1033874458
-
- Skilled Nursing Facility
- Sanford, ME
- NPI 1447342209
-
- Endocrinology, Diabetes & Metabolism Physician
- Londonderry, NH
- NPI 1346239878
-
- Endocrinology, Diabetes & Metabolism Physician
- Derry, NH
- NPI 1144388737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429660800000",
"number": "1457354540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25A JUNE ST",
"city": "SANFORD",
"state": "ME",
"postal_code": "040732642",
"telephone_number": "207-490-7334",
"fax_number": "207-490-7731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 PARK AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022957",
"telephone_number": "207-874-2141",
"fax_number": "207-874-2164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROST",
"first_name": "CARRIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-23",
"last_updated": "2015-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "ME",
"license": "015746",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1609120856",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.