Active NPI
James Robert Frew Jr., MD
- General Practice Physician
- Traverse City, MI
National Provider Identifier
1518147149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 4301044056
- Practice address
- 814 S Garfield Ave
Ste C
Traverse City, MI 49686-2401 - Phone
- (231) 349-5707
- Fax
- (231) 486-6042
- NPI assigned
- Nov 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 4301044056 | MI | Primary |
Addresses
Primary practice location
814 S Garfield Ave
Ste C
Traverse City, MI 49686-2401
Mailing address
814 S Garfield Ave
Ste C
Traverse City, MI 49686-2401
Phone (231) 349-5707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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 |
|---|---|---|---|---|
| I20080310000052 | MI | Practitioner - Family Practice | 8729163274 | Practice locations: Traverse City, MI |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301044056 | MI | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Best Medical Services PLC | Past | Accepting new patients | |
| Center for Health PLLC | Past | Accepting new patients | |
| Shepherd of Hope Clinic PC | General Practice | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Traverse City, MI
- NPI 1073864062
-
- Neuromusculoskeletal Medicine & OMM Physician
- Traverse City, MI
- NPI 1801036090
-
- General Practice Physician
- Traverse City, MI
- NPI 1225014715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458518400000",
"number": "1518147149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 S GARFIELD AVE",
"address_2": "STE C",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496862401",
"telephone_number": "231-349-5707",
"fax_number": "231-486-6042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "814 S GARFIELD AVE",
"address_2": "STE C",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496862401",
"telephone_number": "231-349-5707",
"fax_number": "231-486-6042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREW",
"first_name": "JAMES",
"middle_name": "ROBERT",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-12",
"last_updated": "2016-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MI",
"license": "4301044056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; 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.