Provider Demographics
NPI:1871691915
Name:FRAMPTON, MICHAEL (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:FRAMPTON
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 1:9120 CONNECTICUT ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-7014
Mailing Address - Country:US
Mailing Address - Phone:219-793-1233
Mailing Address - Fax:219-793-1244
Practice Address - Street 1:9120 CONNECTICUT ST
Practice Address - Street 2:SUITE A
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-7014
Practice Address - Country:US
Practice Address - Phone:219-793-1233
Practice Address - Fax:219-793-1244
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-0793182084P0800X
IN010396262084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN083192000OtherMAGELLAN PROVIDER NUMBER
IN000000091438OtherANTHEM PROVIDER NUMBER
IN200821640AMedicaid
IL90000617OtherBC OF IL PROVIDER NUMBER
IN200821640AMedicaid
D01764Medicare UPIN