1972509610 NPI number — MR. FRANKLIN B PRICE MD

Table of content: MR. FRANKLIN B PRICE MD (NPI 1972509610)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972509610 NPI number — MR. FRANKLIN B PRICE MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PRICE
Provider First Name:
FRANKLIN
Provider Middle Name:
B
Provider Name Prefix Text:
MR.
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:
1972509610
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/24/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6563 WILSON MILLS RD
Provider Second Line Business Mailing Address:
SUITE 104
Provider Business Mailing Address City Name:
MAYFIELD
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44143
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
440-919-0180
Provider Business Mailing Address Fax Number:
440-919-0181

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6563 WILSON MILLS RD
Provider Second Line Business Practice Location Address:
SUITE 104
Provider Business Practice Location Address City Name:
MAYFIELD
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44143
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
440-919-0180
Provider Business Practice Location Address Fax Number:
440-919-0181
Provider Enumeration Date:
06/27/2005

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:  35-03-0162-P , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RG0300X , with the licence number: 35-03-0162-P , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RX0202X , with the licence number: 35-03-0162-P , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207R00000X , with the licence number: 35-03-0162 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 3410406060 . This is a "TRICARE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: PRO381542 . This is a "MEDICARE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 0996955 . This is a "UNITED MINE WORKERS" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 30-00056 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 000000126357 . This is a "ANTHEM" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 1877386 . This is a "CIGNA" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 0258546 . This is a "MEDICAID" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 02641110 . This is a "FEDERAL BLACK LUNG PROG" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 341040606030 . This is a "CARE SOURCE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 0258546 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 028546 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 108590 . This is a "KISER" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 110044293 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: R30162 . This is a "APEX" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 341040606003 . This is a "TRICARE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 55234 . This is a "QUALCHOICE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".




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