Provider Demographics
NPI:1871512210
Name:FRANK, SCOTT R (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:R
Last Name:FRANK
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 1:350 W THOMAS RD SURGICAL SUITE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85013
Mailing Address - Country:US
Mailing Address - Phone:602-406-3541
Mailing Address - Fax:602-406-7135
Practice Address - Street 1:350 W THOMAS RD SURGICAL SUITE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013
Practice Address - Country:US
Practice Address - Phone:602-406-3541
Practice Address - Fax:602-406-7135
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2024-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD035744207L00000X
AZ61124207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA184015OtherANTHEM BCBS
DC252968OtherKAISER
DC5205267OtherAETNA NON HMO
DC0190OtherCAREFIRST BCBS
AZ094391Medicaid
VA010229006Medicaid
DC037374500Medicaid
DC720848OtherNCPPO
MD006007100Medicaid
DC1080214OtherAETNA HMO