Provider Demographics
NPI:1871709873
Name:JOHN D. FROST, M.D., APC
Entity type:Organization
Organization Name:JOHN D. FROST, M.D., APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:D
Authorized Official - Last Name:FROST
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:907-563-7072
Mailing Address - Street 1:4100 LAKE OTIS PKWY
Mailing Address - Street 2:#302
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5222
Mailing Address - Country:US
Mailing Address - Phone:907-563-7072
Mailing Address - Fax:907-562-5742
Practice Address - Street 1:4100 LAKE OTIS PKWY
Practice Address - Street 2:#302
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5222
Practice Address - Country:US
Practice Address - Phone:907-563-7072
Practice Address - Fax:907-562-5742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
Not Answered363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKMD1251Medicaid
AKMD1251Medicaid
AKK0000BHFQGMedicare ID - Type Unspecified