Individual provider Active NPI

Charles Edward Frank, M.D.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Fairmont, WV
National Provider Identifier
1477757540
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
18357 Issued in WV
Practice address
1708 Locust Ave
Suite 102
Fairmont, WV 26554-1332
Phone
(304) 363-5799
Fax
(304) 366-0346
NPI assigned
Jun 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 18357 WV Primary

Addresses

Primary practice location

1708 Locust Ave
Suite 102
Fairmont, WV 26554-1332

Mailing address

1708 Locust Ave
Suite 102
Fairmont, WV 26554-1332
Phone (304) 363-5799

Other identifiers 1

IdentifierTypeStateIssuer
0126373000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20100318000632 WV Practitioner - General SurgeryPractitioner - Vascular Surgery 5698800498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
University of Louisville School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1708 Locust Ave
Suite 102
Fairmont, WV 26554-1332
Phone (304) 363-5799

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy28
Upper gastrointestinal (GI) endoscopy for acid reflux18
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Marion Surgical Associates, Inc CurrentSince Nov 1, 1995 Accepting new patients

Locations

1708 Locust Ave
Ste 102
Fairmont, WV 26554
Phone (304) 363-5799

1708 Locust Ave
Fairmont, WV 26554

100 Main St
Farmington, WV 26571
Phone (304) 825-2063

500 Market St
Grafton, WV 26354
Phone (304) 265-0400

1 Hospital Plz
Grafton, WV 26354
Phone (304) 265-0400

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477757540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 LOCUST AVE",
            "address_2": "SUITE 102",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541332",
            "telephone_number": "304-363-5799",
            "fax_number": "304-366-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 LOCUST AVE",
            "address_2": "SUITE 102",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541332",
            "telephone_number": "304-363-5799",
            "fax_number": "304-366-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANK",
        "first_name": "CHARLES",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "WV",
            "license": "18357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0126373000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

Verify at the official NPI Registry.