Leo G Frangipane Jr. MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

053812 Issued in GA

Legal business name

LEO G FRANGIPANE JR. MD

Practice address

765 Maddox Dr
Suite 2
East Ellijay, GA 30540-8189

Phone

(706) 515-1090

Fax

(706) 515-1093

NPI assigned

Aug 21, 2007

Last updated

Mar 31, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Leo G Frangipane Jr., M.D.NPI 1073624912

Title

Doctor

Phone

(706) 515-1090

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leo G Frangipane Jr., MD

  • Surgery Physician
  • East Ellijay, GA
  • NPI 1073624912
  Authorized official Same address or phone

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238457600000",
    "number": "1689867970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "EAST ELLIJAY",
            "state": "GA",
            "postal_code": "305390009",
            "telephone_number": "706-515-1090",
            "fax_number": "706-515-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 MADDOX DR",
            "address_2": "SUITE 2",
            "city": "EAST ELLIJAY",
            "state": "GA",
            "postal_code": "305408189",
            "telephone_number": "706-515-1090",
            "fax_number": "706-515-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEO G FRANGIPANE JR. MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2009-03-31",
        "status": "A",
        "authorized_official_last_name": "FRANGIPANE",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "706-515-1090",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "053812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196171338A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in East Ellijay, GA
• Providers in East Ellijay, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.