Tammy V Frolova
Individual provider Active NPI Driver · Overland Park, KS
NPI 1831638162 · NPPES record last updated Feb 20, 2017
Key facts
- NPI
- 1831638162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- K02438320 (KS)
- Practice address
- 9001 W 77TH St
Overland Park, KS 66204-2532 - Phone
- (913) 230-4872
- NPI assigned
- Feb 20, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K02438320 | KS | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medride LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | K02438320 | KS | Yes |
Addresses
Primary practice location
9001 W 77TH St
Overland Park, KS 66204-2532
Mailing address
9001 W 77TH St
Overland Park, KS 66204-2532
Phone (913) 230-4872
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.