Individual provider Active NPI

Marvin P Frogel, MD

  • Psychiatry Physician
  • Hilton Head Island, SC
National Provider Identifier
1710046164
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
33427 Issued in SC
Practice address
800 Main St
Hilton Head Island, SC 29926-1656
Phone
(843) 681-5377
Fax
(866) 492-0484
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 33427 SC Primary

Addresses

Primary practice location

800 Main St
Hilton Head Island, SC 29926-1656

Mailing address

800 Main St
Suite 210E
Hilton Head Island, SC 29926-1656
Phone (843) 681-5377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Nov 5, 2012 through Nov 5, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33427SCMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1710046164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MAIN ST",
            "address_2": "SUITE 210E",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299261656",
            "telephone_number": "843-681-5377",
            "fax_number": "866-492-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MAIN ST",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299261656",
            "telephone_number": "843-681-5377",
            "fax_number": "866-492-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROGEL",
        "first_name": "MARVIN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "33427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

Verify at the official NPI Registry.