1871585836 NPI number — LEE ALVIN FRANKEL MD

Table of content: ANTHONY J GRIESS MD (NPI 1598713935)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871585836 NPI number — LEE ALVIN FRANKEL MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FRANKEL
Provider First Name:
LEE
Provider Middle Name:
ALVIN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1871585836
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/21/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 35380
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAS VEGAS
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89133-5380
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
702-579-3203
Provider Business Mailing Address Fax Number:
702-838-1456

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5651 W TALAVI BLVD STE 170
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GLENDALE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85306-1893
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
602-843-1313
Provider Business Practice Location Address Fax Number:
602-843-0191
Provider Enumeration Date:
08/16/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  24467 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 820410 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 8303107007 . This is a "CIGNA 200" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1Z7304 . This is a "HEALTHNET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 110173204 . This is a "RR MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 860923905 . This is a "HUMANA PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: AZ824320 . This is a "BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 24094 . This is a "MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5075581 . This is a "CCN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 8303008007 . This is a "CIGNA 210" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1422191 . This is a "FIRST HEALTH" identifier . This identifiers is of the category "OTHER".




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