Eugene L Frank, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Tesuque, NM
NPI 1912092370 · NPPES record last updated Apr 18, 2008
Key facts
- NPI
- 1912092370
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 92-223 (NM)
- Practice address
- 63 Paseo Encantado SW
Tesuque, NM 87574 - Phone
- (505) 983-9190
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090428000404 | NM | Practitioner - Obstetrics/Gynecology | 7315911807 | Practice locations: Tesuque, NM |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92-223 | NM | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eugene L. Frank MD LLC | Obstetrics & Gynecology | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/2913/brand/1/csg/21/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 92-223 | NM | Yes |
Addresses
Primary practice location
63 Paseo Encantado SW
Tesuque, NM 87574
Mailing address
PO Box 179
Tesuque, NM 87574-0179
Phone (505) 983-9190
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NM010344 | Other | NM | BCBS |
| H5117 | Medicaid | NM |
Other providers in Tesuque, NM
- Behavioral Optometry
- Eugene L. Frank MD LLC
- Roberta R Goodman
- Richard Dale Juel
- Santa Fe Mountain Center Inc
All providers in Tesuque, NM · Obstetrics & Gynecology Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.