Provider Demographics
NPI:1447253547
Name:KNOTTS, FRANK BARRY (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:BARRY
Last Name:KNOTTS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2409 CHERRY ST.
Mailing Address - Street 2:MOB 303
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43608
Mailing Address - Country:US
Mailing Address - Phone:419-251-4674
Mailing Address - Fax:419-251-3862
Practice Address - Street 1:2409 CHERRY ST.
Practice Address - Street 2:MOB 303
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43608
Practice Address - Country:US
Practice Address - Phone:419-251-4674
Practice Address - Fax:419-251-3862
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2013-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350600197K208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000223899OtherANTHEM
603015OtherBUCKEYE COMMUNITY HEALTH PLAN
4206450OtherAETNA
5458369007OtherCIGNA
15879OtherNATIONWIDE
01112OtherPARAMOUNT
MI10438945OtherMICHIGAN MEDICAID
1701427OtherUNITED HEALTH CARE
OH020052296OtherRAIROAD MEDICARE
OH0801467Medicaid
60315OtherFAMILY HEALTH PLAN
OH020052296OtherRAIROAD MEDICARE
1701427OtherUNITED HEALTH CARE
603015OtherBUCKEYE COMMUNITY HEALTH PLAN
603015OtherBUCKEYE COMMUNITY HEALTH PLAN
OH0801467Medicaid