Jeffrey P Frey (NPI# 1326006511, PAC ID# 3072594316) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1326006511 |
| PAC ID by PECOS | 3072594316 |
| Professional Enrollment ID | I20091202000388 |
| Full Name | Jeffrey P Frey |
| Organization Legal Name | BROADWAY INTERNAL MEDICINE ASSOCIATES LLC |
| Address |
204 N Keene St Columbia MO 65201-8102 |
| Phone Number | 5734420320 |
| Gender | M |
| Graduation Year | 1974 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | GERIATRIC MEDICINE |
| Group Practice PAC ID | 5193706430 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260068 | BOONE HOSPITAL CENTER |
| 260074 | MOBERLY REGIONAL MEDICAL CENTER |
| 261307 | PERSHING MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 204 N Keene St, Columbia, MO 65201-8102 | 5734420320 | BROADWAY INTERNAL MEDICINE ASSOCIATES LLC |
| 204 N Keene St, Suite 100, Columbia, MO 65201-8102 | 5734420320 | BROADWAY INTERNAL MEDICINE ASSOCIATES LLC |
| Organization Legal Name | BROADWAY INTERNAL MEDICINE ASSOCIATES LLC |
| Physicians | 1 |
| Street Address |
204 N KEENE ST |
| City | COLUMBIA |
| State | MO |
| Zip | 65201-8102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaitlin Ann Schiavo | Dermatology | 204 N Keene St, 100 Columbia Dermatology, Columbia, MO 65201-8136 | |
| Aaron D Gray | Sports Medicine | The Curators of The University of Missouri | 204 N Keene St, Columbia, MO 65201-8136 |
| Douglas E Vogt | Internal Medicine | 204 N Keene St, Suite 100, Columbia, MO 65201-8136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gerald H Heisler | Clinical Psychologist | 1316 S Old Hwy 63, Columbia, MO 65201 | |
| Amanda J Fischer | General Surgery | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Erica H Salinas | Vascular Surgery | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Jennifer Lynn Sanford | Vascular Surgery | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Jane A Vaughan | Nurse Practitioner | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Ashley Marie Hardesty | Nurse Practitioner | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| John G Adams Jr. | Vascular Surgery | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Kimberly C Suppes | General Surgery | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Erik M Grossmann | Colorectal Surgery (proctology) | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Jeffrey Roland Nolting | Psychologist, Clinical | Deer Oaks Mental Health Associates PC | 3105 Bluff Creek Dr, Columbia, MO 65201-3529 |
| Find all physicians in zip 65201 | |||
| City | COLUMBIA |
| Zip Code | 65201 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | COLUMBIA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jeffrey P Frey.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.