Frontier Medical Corp.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FRONTIER MEDICAL CORP.

Practice address

191 S Broadway Ave
Burns, OR 97720-2204

Phone

(541) 589-3017

NPI assigned

Dec 14, 2020

Last updated

Dec 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ron Wulff

Title

President

Phone

(541) 589-0563

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607904000000",
    "number": "1861088924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631",
            "city": "BURNS",
            "state": "OR",
            "postal_code": "977200631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 S BROADWAY AVE",
            "city": "BURNS",
            "state": "OR",
            "postal_code": "977202204",
            "telephone_number": "541-589-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER MEDICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "WULFF",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-589-0563"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevor Fero
• Thomas Mark Fitzpatrick, MD
• Petra Lee Flemmer, QMHA-R
• Hannah Elyse Frank, PA-C
• Elizabeth Kay Frommelt, RPH
• Tori Nicole Garner, RD, LD
• Conner Russell Githens
• Salene Green, QMHP,MA
• Ryan Gunderson
• Jamie S Hamsa, QMHA, B.A

• Durable Medical Equipment & Medical Supplies in Burns, OR
• Providers in Burns, OR by specialty
• Durable Medical Equipment & Medical Supplies in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.