Individual provider Active NPI

John Frey, MD

  • Emergency Medicine Physician
  • Texarkana, TX
National Provider Identifier
1811998453
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
L4943 Issued in TX
Practice address
2801 Richmond Rd
#31
Texarkana, TX 75503-2123
Phone
(903) 276-5971
NPI assigned
Aug 4, 2005
Last updated
Apr 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X L4943 TX Primary
Emergency Medicine Physician 207P00000X E-10044 AR
Emergency Medicine Physician 207P00000X G77222 CA

Addresses

Primary practice location

2801 Richmond Rd
#31
Texarkana, TX 75503-2123

Mailing address

2801 Richmond Rd.
#31
Texarkana, TX 75503
Phone (903) 276-5971

Other practice location 1

800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 606-4262

Other practice location 2

18780 I-20
Canton, TX 75103
Phone (903) 567-4841

Other practice location 3

115 Airport Rd
Sulphur Springs, TX 75482-2105
Phone (903) 885-7671

Other practice location 4

2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (903) 541-4500

Other practice location 5

1509 S Palestine Street
Athens, TX 75751
Phone (903) 675-1725

Other practice location 6

3203 S Main St
Lindale, TX 75771-7727
Phone (903) 266-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AR2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040330000862 TX Practitioner - Emergency Medicine 6103818455 Reassigns benefits to 9 organizations
I20171227000796 AR Practitioner - Emergency Medicine 6103818455 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Emergency Physicians PLLCGroup PAC ID 7810359759, 63 clinicians
Northeast Texas Emergency Physicians PLLCGroup PAC ID 8527420306, 195 clinicians
Correct Care, Inc.Group PAC ID 8628980992, 96 clinicians

Practice addresses (Care Compare)

1000 Pine St
Texarkana, TX 75501-5100
Phone (903) 798-8000

1007 S William St
Atlanta, TX 75551-3245
Phone (903) 799-3000

2001 S Main St
Hope, AR 71801-8124
Phone (870) 722-3800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7845NVMDDentist
E-10044ARMDEmergency Medicine Physician
G77222CAMDEmergency Medicine Physician
L4943TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Emergency Physicians, PLLC Emergency Medicine CurrentSince Oct 14, 2024 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Feb 1, 2019 Accepting new patients
Northeast Texas Emergency Physicians, PLLC Emergency Medicine CurrentSince Feb 9, 2026 Accepting new patients
Medco Physician Group Emergency Medicine CurrentSince Jun 21, 2019 Accepting new patients
Pafford Health Systems Inc CurrentSince May 16, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince May 1, 2023 Accepting new patients
Forrest City Emergency Physicians PLLC Emergency Medicine CurrentSince Nov 18, 2018 Accepting new patients
Third Coast Emergency Physicians Southwest PA Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Dec 1, 2020 Accepting new patients
Pafford Physician Services HM PLLC CurrentSince May 16, 2024 Accepting new patients
Mother Frances Hospital Regional Health Care Center CurrentSince Nov 9, 2015 Accepting new patients
Pafford Physician Services Em PLLC Emergency Medicine CurrentSince May 16, 2024 Accepting new patients
Emergency Staffing Solutions Region III Emergency Medicine CurrentSince Feb 13, 2024 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Feb 1, 2019 Accepting new patients
Forrest City Emergency Physicians, PLLC Emergency Medicine CurrentSince Nov 18, 2018 Accepting new patients
Christus Trinity Clinic Texas CurrentSince May 1, 2023 Accepting new patients
HCC of Magnolia LLC CurrentSince Feb 13, 2024 Accepting new patients
Texarkana Emergency Physicians PLLC Emergency Medicine CurrentSince Oct 9, 2021 Accepting new patients
Mother Frances Hospital Jacksonville CurrentSince May 1, 2023 Accepting new patients
Ojai Valley Emergency Physicians Medical Group Inc Emergency Medicine Past Accepting new patients
Lamar Emergency Group PA Emergency Medicine Past Accepting new patients
Radiology Associates of North Texas PA Past Accepting new patients
East Texas Medical Center-Clarksville PastSince Jan 18, 2014 Accepting new patients
Lake Sulphur Springs Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

1601 New Castle Rd
Forrest City, AR 72335
Phone (870) 261-0000

1801 Martin Luther King Jr Dr
Helena, AR 72342
Phone (870) 338-5800

100 E 20th St
Ste D
Hope, AR 71801
Phone (870) 722-1020

2001 S Main St
Hope, AR 71801
Phone (870) 722-3800

101 Hospital Dr
Magnolia, AR 71753
Phone (870) 235-3000

1509 State Highway 19 S
Athens, TX 75751
Phone (903) 606-4262

2000 S Palestine St
Athens, TX 75751
Phone (903) 675-2216

1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

2701 US Highway 271 N
Pittsburg, TX 75686
Phone (903) 946-5000

3960 Legacy Dr
Plano, TX 75023
Phone (469) 392-4000

3960 Legacy Dr
#B
Plano, TX 75023
Phone (469) 392-4000

4103 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 572-8415

115 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 439-4052

1000 Pine St
Texarkana, TX 75501
Phone (903) 798-7365

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

4250 Gibson Ln
Texarkana, TX 75503
Phone (903) 614-8100

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

713 E Anderson St
Weatherford, TX 76086
Phone (682) 582-1000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EGDDDD
  • Direct secure messaging: jfrey112502@christushealth.direct-ci.net
  • Direct secure messaging: john.frey.1@14285.direct.athenahealth.com

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1811998453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 RICHMOND RD.",
            "address_2": "#31",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "75503",
            "telephone_number": "903-276-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 RICHMOND RD",
            "address_2": "#31",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032123",
            "telephone_number": "903-276-5971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 E Dawson St",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012036",
            "country_code": "US",
            "telephone_number": "903-606-4262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18780 I-20",
            "address_purpose": "LOCATION",
            "city": "CANTON",
            "state": "TX",
            "postal_code": "75103",
            "country_code": "US",
            "telephone_number": "903-567-4841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Sulphur Springs",
            "state": "TX",
            "postal_code": "754822105",
            "country_code": "US",
            "telephone_number": "903-885-7671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2026 S Jackson St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "TX",
            "postal_code": "757665822",
            "country_code": "US",
            "telephone_number": "903-541-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1509 S PALESTINE STREET",
            "address_purpose": "LOCATION",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "75751",
            "country_code": "US",
            "telephone_number": "903-675-1725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3203 S Main St",
            "address_purpose": "LOCATION",
            "city": "Lindale",
            "state": "TX",
            "postal_code": "757717727",
            "country_code": "US",
            "telephone_number": "903-266-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREY",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-04",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L4943",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-10044",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G77222",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.