MR. MICHAEL ADRIAN FROST (NPI# 1114004587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114004587 |
Entity Type | Individual |
Full Name | MR. MICHAEL ADRIAN FROST |
Credential | FNP, RN |
Practice Address |
3124 Willow Creek Rd Prescott AZ 86301-6610 |
Practice Telephone | 9284457085 |
Practice Fax Number | 9284457095 |
Mailing Telephone | 9284457085 |
Mailing Fax Number | 9282372437 |
Enumeration Date | 2006-11-01 |
Last Update Date | 2018-11-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | RN123750 | AZ | Nursing Service Providers |
N | 163WP0000X |
Registered Nurse Specialization: Pain Management |
RN123750 | AZ | Nursing Service Providers |
N | 363L00000X | Nurse Practitioner | AP3481 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP3481 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AP3481 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | MEDICARE | Z200193 | 01 |
AZ | 580425 | 05 | |
CAQH | 12366810 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295857209 | Michael A Frost | Counselor | Curry Health Ctr, The University of Montana - Missoula, Missoula, MT 59812-0001 | 2007-04-03 |
1104487438 | Michael A Frost Jr. | Registered Nurse | 750 E Long St Ste 3000, Columbus, OH 43203 | 2019-06-26 |
1174082184 | Michael Frost | Internal Medicine | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2019-03-19 |
1033641501 | Michael Paul Frost | Emergency Medicine | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2017-04-03 |
1184909236 | Michael Frost | Pharmacist | 606 S Whitney Way, Madison, WI 53711-1035 | 2011-10-19 |
1952684367 | Michael Frost | Pharmacist | 5525 W 12th St, Little Rock, AR 72204-1715 | 2011-09-21 |
1003950965 | Michael G. Frost | Counselor | 1201 Tuckaway Ln, Menasha, WI 54952-1704 | 2007-02-16 |
1649343229 | Michael J Frost | Social Worker | 500 N Bridge St, Bridgewater, NJ 08807-2135 | 2006-11-15 |
1124116892 | Michael Alan Frost | Dentist | 323 Main Street, Cumberland, ME 04021-0207 | 2006-10-10 |
1962502492 | Michael P Frost | Internal Medicine | 722 E Butler Pike, Ambler, PA 19002-2310 | 2006-09-24 |
Street Address |
3124 WILLOW CREEK RD |
City | PRESCOTT |
State | AZ |
Zip Code | 86301-6610 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174510002 | Mohammad Golparian | Internal Medicine | 3124 Willow Creek Rd, Prescott, AZ 86301-6610 | 2005-10-05 |
1598376766 | Arak LLC | Clinic/Center | 3124 Willow Creek Rd, Prescott, AZ 86301-6610 | 2020-08-12 |
1811457492 | First Lab, LLC | Clinical Medical Laboratory | 3124 Willow Creek Rd, Prescott, AZ 86301-6610 | 2019-03-21 |
1255800371 | Bardia Sinaei Dmd Pllc | Clinic/Center | 3124 Willow Creek Rd, Prescott, AZ 86301-6610 | 2018-11-19 |
1588193023 | Thumb Butte Medical Center, Pllc | Clinic/Center | 3124 Willow Creek Rd, Prescott, AZ 86301-6610 | 2017-06-08 |
1003340183 | Brad Williams M.d. Ph.d., P.C. | Orthopaedic Surgery | 3124 Willow Creek Rd, Prescott, AZ 86301-6610 | 2017-04-17 |
1104200690 | Bardia Sinaei | Dentist | 3124 Willow Creek Rd, Prescott, AZ 86301-6610 | 2015-07-14 |
1366825978 | Christopher Novack | Nurse Practitioner | 3124 Willow Creek Rd, Prescott, AZ 86301-6610 | 2015-06-30 |
1013291707 | Linda Jo Nelson | Nurse Practitioner | 3124 Willow Creek Rd, Prescott, AZ 86301-6610 | 2011-09-29 |
1225260334 | Thumb Butte Medical Center, Pllc | Internal Medicine | 3124 Willow Creek Rd, Prescott, AZ 86301-6610 | 2009-08-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
Find all providers in zip 86301 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336757731 | Dionne Louise Shy | Nurse Practitioner | 939 Juanita Ter, Prescott, AZ 86303-3541 | 2020-07-21 |
1659851046 | Michael Berlowe | Nurse Practitioner | 306 N Virginia St, Prescott, AZ 86301-2634 | 2018-08-15 |
1760996276 | Melanie Lynn Hearnsberger Mcguire | Nurse Practitioner | 234 Nevada 222 E, Prescott, AR 71857-8101 | 2017-11-20 |
1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
1265958755 | Prescott Family Practice and Wellness, LLC | Nurse Practitioner | 1151 W Iron Springs Rd Ste F, Prescott, AZ 86305-1614 | 2017-08-16 |
1073067195 | Arrow Housecall | Nurse Practitioner | 1797 N Lapis Dr, Prescott, AZ 86301-5972 | 2016-08-05 |
1326431214 | Helen Betito Paslay | Nurse Practitioner | 3110 Clearwater Dr Ste B, Prescott, AZ 86305-7177 | 2015-03-16 |
1992116446 | Teri Sweginnis | Nurse Practitioner | 1602 Barmar Ln, Prescott, AZ 86301-1266 | 2014-05-17 |
1013330448 | Atlas Health Assessment LLC | Nurse Practitioner | 969 W Gurley St, Prescott, AZ 86305-2817 | 2014-01-21 |
1073866406 | Thomas Judah Gann | Nurse Practitioner | 3625 Crossings Dr, Prescott, AZ 86305-7159 | 2012-10-23 |
Find all providers in PRESCOTT |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.