NPIMap

Individual provider Active NPI

John Oldham Frame, D.O.

  • Family Medicine Physician
  • South Charleston, WV
National Provider Identifier
1699799015
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1212 Issued in WV
Practice address
4501 Maccorkle Ave SW
Suite 301
South Charleston, WV 25309-1444
Phone
(304) 768-0700
Fax
(304) 768-9790
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1212 WV Primary

Addresses

Primary practice location

4501 Maccorkle Ave SW
Suite 301
South Charleston, WV 25309-1444

Mailing address

4501 Maccorkle Ave SW
Suite 301
South Charleston, WV 25309-1444
Phone (304) 562-3670

Other identifiers 2

IdentifierTypeStateIssuer
000688918OtherWVBC BS
0042130000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110329000978 WV Practitioner - Family PracticePractitioner - Emergency Medicine 3779516323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
West Virginia School of Osteopathic Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prestige Primary Care Associates PLLCGroup PAC ID 3072546621, 2 clinicians

Practice addresses (Care Compare)

3703 Teays Valley Rd
Unit B
Hurricane, WV 25526-9645
Phone (304) 768-0700

Hospital & facility affiliations

  • Stonerise Home Health Home health agency, Charleston, WV, CCN 517132
  • Centerwell Home Health Home health agency, South Charleston, WV, CCN 517048
  • Thomas Memorial Hospital Hospital, South Charleston, WV, CCN 510029
  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Primary Care Associates, PLLC Family Medicine CurrentSince Jul 1, 2002 Accepting new patients
South Charleston Primary Care Family Medicine Past Accepting new patients

Locations

3703 Teays Valley Rd
Unit B
Hurricane, WV 25526
Phone (304) 768-0700

4501 Maccorkle Ave SW
Ste 301
South Charleston, WV 25309
Phone (304) 768-0501

Organizations & group practices 2

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1699799015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 MACCORKLE AVE SW",
            "address_2": "SUITE 301",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091444",
            "telephone_number": "304-562-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 MACCORKLE AVE SW",
            "address_2": "SUITE 301",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091444",
            "telephone_number": "304-768-0700",
            "fax_number": "304-768-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAME",
        "first_name": "JOHN",
        "middle_name": "OLDHAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "1212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "000688918",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0042130000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

Verify at the official NPI Registry.