Individual provider Active NPI

Artem Frolov, DO, MHA

  • Neuromusculoskeletal Medicine & OMM Physician
  • Gladstone, OR
National Provider Identifier
1518604644
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
DO229924 Issued in OR
Practice address
15 82ND Dr Ste 100
Gladstone, OR 97027-2550
Phone
(503) 853-0209
NPI assigned
May 19, 2022
Last updated
Aug 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 4655 WV
Neuromusculoskeletal Medicine & OMM Physician 204D00000X DO229924 OR Primary

Addresses

Primary practice location

15 82ND Dr Ste 100
Gladstone, OR 97027-2550

Mailing address

15 82ND Dr Ste 100
Gladstone, OR 97027-2550
Phone (503) 773-6676

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
I20260313002657 WV Practitioner - Osteopathic Manipulative Medicine 3971024928 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ballout International PLLCGroup PAC ID 5890045256, 48 clinicians
Evolutionary Healthcare West Virginia PLLCGroup PAC ID 6002390747, 4 clinicians

Practice addresses (Care Compare)

979 Rocky Hill Rd
Ronceverte, WV 24970-8028
Phone (321) 387-9451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DO229924ORMDNeuromusculoskeletal Medicine & OMM Physician
4655WVMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Still Hill Health LLC Neuromusculoskeletal Medicine & Omm Current Accepting new patients
Ballout International PLLC Neuromusculoskeletal Medicine & Omm CurrentSince Feb 3, 2026 Accepting new patients

Locations

15 82nd Dr
Ste 100
Gladstone, OR 97027
Phone (503) 831-9231

1115 Maplewood Ave
Lewisburg, WV 24901
Phone (304) 645-3076

979 Rocky Hill Rd
Ronceverte, WV 24970
Phone (304) 645-7270

Interoperability endpoints

  • Direct secure messaging: artem.frolov.1@17660.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1518604644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 82ND DR STE 100",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "970272550",
            "telephone_number": "503-773-6676",
            "fax_number": "503-386-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 82ND DR STE 100",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "970272550",
            "telephone_number": "503-853-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROLOV",
        "first_name": "ARTEM",
        "credential": "DO, MHA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-19",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "WV",
            "license": "4655",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "OR",
            "license": "DO229924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladstone, OR

Sources for this page

Verify at the official NPI Registry.