Organization Active NPI

Roy Tyler Frizzell, M.D., PLLC

  • Specialist
  • Boise, ID
National Provider Identifier
1992992911
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
M6824 Issued in ID
Legal business name
ROY TYLER FRIZZELL, M.D., PLLC
Practice address
222 N. 2ND Street
Suite 307
Boise, ID 83702-6131
Phone
(208) 344-1000
Fax
(208) 344-1331
NPI assigned
Oct 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Authorized official

Name
Dr. Roy Tyler Frizzell, M.D., PH.D.NPI 1114977600
Title
President
Phone
(208) 344-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X M6824 ID Primary

Addresses

Primary practice location

222 N. 2ND Street
Suite 307
Boise, ID 83702-6131

Mailing address

222 N. 2ND Street
Suite 307
Boise, ID 83702-6131
Phone (208) 344-1000

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1992992911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N. 2ND STREET",
            "address_2": "SUITE 307",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026131",
            "telephone_number": "208-344-1000",
            "fax_number": "208-344-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N. 2ND STREET",
            "address_2": "SUITE 307",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026131",
            "telephone_number": "208-344-1000",
            "fax_number": "208-344-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY TYLER FRIZZELL, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "FRIZZELL",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-344-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "ID",
            "license": "M6824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.

Verify at the official NPI Registry.