Organization Active NPI

Evan D Frank MD PHD LLC

  • Interventional Pain Medicine Physician
  • Wynnewood, PA
National Provider Identifier
1558542191
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
EVAN D FRANK MD PHD LLC
Practice address
Lankenau Medical Center
100 Lancaster Ave Mob East Ste 459
Wynnewood, PA 19096
Phone
(610) 642-3800
NPI assigned
Nov 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Authorized official

Name
Dr. Evan David Frank, MDNPI 1356383368
Title
Owner
Phone
(610) 642-3800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

Lankenau Medical Center
100 Lancaster Ave Mob East Ste 459
Wynnewood, PA 19096

Mailing address

14 Narbrook Park
Narberth, PA 19072-2124
Phone (610) 664-3199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080108000319 PA Part B Supplier - Clinic/Group Practice 0648350348 Receives reassigned benefits from 1 practitioner
Practice locations: Wynnewood, PA

National Provider Directory

National Provider Directory

Locations

100 E Lancaster Ave
#459
Wynnewood, PA 19096
Phone (610) 642-4989

100 E Lancaster Ave
Ofc
Wynnewood, PA 19096
Phone (610) 645-2008

100 E Lancaster Ave
Ste 459
Wynnewood, PA 19096
Phone (610) 642-3800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1558542191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 NARBROOK PARK",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190722124",
            "telephone_number": "610-664-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LANKENAU MEDICAL CENTER",
            "address_2": "100 LANCASTER AVE MOB EAST STE 459",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "19096",
            "telephone_number": "610-642-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVAN D FRANK MD PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2021-09-07",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-642-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.