Provider Demographics
NPI:1942240791
Name:FRASCA, LINDA (MD)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:FRASCA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 S MAIN ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:BLACKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24060-7017
Mailing Address - Country:US
Mailing Address - Phone:540-443-7180
Mailing Address - Fax:540-443-7181
Practice Address - Street 1:3700 S MAIN ST
Practice Address - Street 2:SUITE A
Practice Address - City:BLACKSBURG
Practice Address - State:VA
Practice Address - Zip Code:24060-7017
Practice Address - Country:US
Practice Address - Phone:540-443-7180
Practice Address - Fax:540-443-7181
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2014-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101051449207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA4550233OtherAETNA
VA9081454OtherCIGNA
VA343020OtherANTHEM
VAP00310646OtherMEDICARE RAILROAD
VAB82247Medicare UPIN
VA010318E59Medicare PIN
P00612574Medicare PIN
B82247Medicare UPIN
VAP00310646OtherMEDICARE RAILROAD