Active NPI
John Alexander Frutchey, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Safety Harbor, FL
National Provider Identifier
1891896437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- ME61534
- Practice address
- 2307 Oxford CT
Safety Harbor, FL 34695-5622 - Phone
- (727) 725-3865
- NPI assigned
- Sep 26, 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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | ME61534 | FL | Primary |
Addresses
Primary practice location
2307 Oxford CT
Safety Harbor, FL 34695-5622
Mailing address
2307 Oxford CT
Safety Harbor, FL 34695-5622
Phone (727) 725-3865
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0101038132 | Other | VA | MEDICAL LICENSE |
| ME61534 | Other | FL | MEDICAL LICENSE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891896437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2307 OXFORD CT",
"city": "SAFETY HARBOR",
"state": "FL",
"postal_code": "346955622",
"telephone_number": "727-725-3865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2307 OXFORD CT",
"city": "SAFETY HARBOR",
"state": "FL",
"postal_code": "346955622",
"telephone_number": "727-725-3865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRUTCHEY",
"first_name": "JOHN",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "FL",
"license": "ME61534",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "0101038132",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "ME61534",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Safety Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.