Active NPI
Miguel Antonio Frontera, M.D.
- Psychiatry Physician
- Towson, MD
National Provider Identifier
1760423313
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Aug 19, 2010.
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D37559
- Practice address
- 515 Fairmount Ave
Suite 640
Towson, MD 21286-5466 - Phone
- (410) 494-1350
- Fax
- (410) 494-1374
- NPI assigned
- Jun 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D37559 | MD | Primary |
Addresses
Primary practice location
515 Fairmount Ave
Suite 640
Towson, MD 21286-5466
Mailing address
515 Fairmount Ave
Credentialing Department
Towson, MD 21286-5466
Phone (410) 494-1324
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 186916100 | Medicaid | MD |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D37559 | MD | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250208000000",
"number": "1760423313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 FAIRMOUNT AVE",
"address_2": "CREDENTIALING DEPARTMENT",
"city": "TOWSON",
"state": "MD",
"postal_code": "212865466",
"telephone_number": "410-494-1324",
"fax_number": "410-494-1361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 FAIRMOUNT AVE",
"address_2": "SUITE 640",
"city": "TOWSON",
"state": "MD",
"postal_code": "212865466",
"telephone_number": "410-494-1350",
"fax_number": "410-494-1374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRONTERA",
"first_name": "MIGUEL",
"middle_name": "ANTONIO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2009-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D37559",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "186916100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.