Active NPI
Ithiel James Frame, M.D., PH.D.
- Clinical Pathology Physician
- Lewisville, TX
National Provider Identifier
1598129744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology Physician
- License
- S0286
- Practice address
- 2501 S State Hwy 121 Ste 1100
Lewisville, TX 75067-0001 - Phone
- (972) 966-7000
- NPI assigned
- Apr 13, 2016
- Last updated
- Feb 23, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Clinical Pathology Physician | 207ZC0006X | S0286 | TX | Primary |
Addresses
Primary practice location
2501 S State Hwy 121 Ste 1100
Lewisville, TX 75067-0001
Mailing address
2501 State Highway 121
Suite 1100
Lewisville, TX 75067-8188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S0286 | TX | MD | Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Quest Diagnostics Clinical Laboratories Inc | Past | Accepting new patients |
Locations
504 Clinton Center Dr
Ste 4300
Clinton, MS 39056
2500 N State St
Jackson, MS 39216
Phone (601) 815-4775
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.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
-
- Clinical Medical Laboratory
- Irving, TX
- NPI 1790721538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708646400000",
"number": "1598129744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 STATE HIGHWAY 121",
"address_2": "SUITE 1100",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750678188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 S STATE HWY 121 STE 1100",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750670001",
"telephone_number": "972-966-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAME",
"first_name": "ITHIEL JAMES",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-13",
"last_updated": "2024-02-23",
"certification_date": "2024-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207ZC0006X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology",
"state": "TX",
"license": "S0286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.